TNCC Burn and Surface Trauma Best Rated Exam Questions

Frostbite treatment - ANSWER-Rewarm area over 15 to 30 minutes in controlled temperature water (98.6-102.2) Give pain medicine Avoid friction or rubbing carbon monoxide poisoning - ANSWER-CO replaces oxygen and hemoglobin creating carboxyhemoglobin s/s headache, confusion, nausea or vomiting half-life of CO is about one hour on 100% oxygen Treat with oxygen until carboxyhemoglobin levels drop to less than 10% (ABG) Adult fluid replacement for ELECTRICAL burns - ANSWER-4mL/kg Note that this is different from standard fluid replacement for burns (wt x 2mL x % TBSA) Pediatric or less than 40 kg burn fluid replacement formula - ANSWER-3 mL/kg per % TBSA in addition infants and children weighing less than 30 kg should be placed on a glucose containing maintenance fluid, specifically D5 LR. Myoglobinuria Treatment - ANSWER-Sodium bicarb infusion to alkalize urine (promoting excretion of myoglobin)