Med-Surg III (NSG 233): Exam 4 (comprehensive) Questions and Answers Best rated A+ Guaranteed Success Latest Update

Burns • Most Common Types 1. Flame-related (41%) 2. Scaldings (25%) 3. Direct source contact (10%) 4. Electrical (3%) 5. Chemical contact (3%) 6. Inhalation only (3%) Burn Severity: • Age Young peds & older adults = HR morbidity & mortality • Depth Burns are classified according to DEPTH of tissue destruction. Burns: • 1˚ (Superficial) Tissues: Epidermis ONLY Recovery & Tx: Complete recovery within a few days. • 2˚ (Partial-Thickness) Tissues: Epidermis & part of the dermis Recovery & Tx: Recovery in 2-3 wks (depends on depth of dermal injury). • 3˚ (Full-Thickness) Tissues: Epidermis + dermis + SQ tissueClinical Manifestations: NO PAIN, NO SENSATION (deeply burns areas; nerve fibers are damaged) Recovery & Tx: Grafting necessary • 4˚ (Deep Burn Necrosis) Tissues: Deep tissue, Muscle & bone Recovery & Tx: Amputations likely. Severe Burns • SEVERE BURNS = ≥ 20% TBSA (cause local & systemic effects) Severe Burns: • Pulmonary INHALATION INJURY = #1 REASON FOR MORTALITY (along with age & burn size) Lower Airway Inhalation Injury: • Carbon Monoxide Poisoning Carbon monoxide poisoning is a factor is most fatalities at the scene of a fire. Tx = 100% O2 Burns: • Pain Mgmt Burns = most painful trauma