correct well detailed answers|latest
Rule of nines - ANSWER Head: 9%
Chest: 9%
Abdomen: 9%
Arm: 9%
Leg: 18%
Back: 18%
Genitals: 1%
parkland formula for burns - ANSWER 4 mL x % BSA x Weight (kg)
-first 1/2 in 8 hours
-second 1/2 in 16 hours
Fluids for burns - ANSWER Lactated ringers
First degree burns (superficial) - ANSWER Only epidermis is damaged
Healing 3-6 days
Second degree burns (partial thickness) - ANSWER Entire epidermis and variable
portions of the dermis
Deep partial thickness burns extend into deeper layers of the dermis.
Healing occurs in 2 - 6 weeks
Uncomplicated healing occurs in 10 - 21 days
1
, Third degree burns (full thickness) - ANSWER Burns reach through the entire dermis,
sometimes into the subcutaneous fat
Skin cannot heal on its own
Require intervention:
-Debridement
-Grafts
How to determine if client should transfer to burn center? - ANSWER Burns to face
(airway involvement)
Electrical burn
Burn to perineum
Silvadene Cream - ANSWER Med used for prevention and treatment of infection in
burns
Ask about sulfa allergy
Silvadene cream teaching - ANSWER Apply to clean debrided burned areas 1-2 times
daily with sterile gloved hand
S/E: burning, itching, pain
Homografts (Allografts) - ANSWER Human skin from cadaver
RF: high cost, bloodborne infection transmission
Heterografts (Xenografts) - ANSWER Skin obtained from another species
Assess daily for adherence and need for replacement
Grafts - ANSWER To become fully vascularized patient must be fully immobilized in a
side-lying or prone position for 7 - 10 days
2
Rule of nines - ANSWER Head: 9%
Chest: 9%
Abdomen: 9%
Arm: 9%
Leg: 18%
Back: 18%
Genitals: 1%
parkland formula for burns - ANSWER 4 mL x % BSA x Weight (kg)
-first 1/2 in 8 hours
-second 1/2 in 16 hours
Fluids for burns - ANSWER Lactated ringers
First degree burns (superficial) - ANSWER Only epidermis is damaged
Healing 3-6 days
Second degree burns (partial thickness) - ANSWER Entire epidermis and variable
portions of the dermis
Deep partial thickness burns extend into deeper layers of the dermis.
Healing occurs in 2 - 6 weeks
Uncomplicated healing occurs in 10 - 21 days
1
, Third degree burns (full thickness) - ANSWER Burns reach through the entire dermis,
sometimes into the subcutaneous fat
Skin cannot heal on its own
Require intervention:
-Debridement
-Grafts
How to determine if client should transfer to burn center? - ANSWER Burns to face
(airway involvement)
Electrical burn
Burn to perineum
Silvadene Cream - ANSWER Med used for prevention and treatment of infection in
burns
Ask about sulfa allergy
Silvadene cream teaching - ANSWER Apply to clean debrided burned areas 1-2 times
daily with sterile gloved hand
S/E: burning, itching, pain
Homografts (Allografts) - ANSWER Human skin from cadaver
RF: high cost, bloodborne infection transmission
Heterografts (Xenografts) - ANSWER Skin obtained from another species
Assess daily for adherence and need for replacement
Grafts - ANSWER To become fully vascularized patient must be fully immobilized in a
side-lying or prone position for 7 - 10 days
2
