Advanced Burn Life Support Exam Study Guide Questions And Answers

Advanced Burn Life Support Exam Study Guide Questions And Answers considerations if has a burn and is not alert - ANSWER -associated injuries/trauma? CO poisioning Rx abuse hypoxia preexisting disease what happens in the secondary survey - ANSWER -H&P complete head to toe purpose of IVF for burn victims - ANSWER -determine pt weight TBSA burned determine adjusted fluid rate monitor fluid resuscitation/I&O Q's to ask for chemical burns - ANSWER -what agent? acidic/alkalinic (determines if superficial or deep and projected course of burn) duration of contact any contamination done Q's to ask if electrical burn - ANSWER -associated w/fall? LOC? CPR needed? AMPLET - ANSWER -P is past med hx/pregnant? L is last I&O and LMP T is tentnus and childhood immunizations factors that determine burn severity - ANSWER -depth extent TBSA location over a specialized area like hands/feet/genitalia/perineum, face preexisting conditions age considered "specialized areas" of the body that, when burned, require referral to a burn center - ANSWER -hands feet genitalia perineum face not included when calculated TBSA - ANSWER -superficial burns how to use rule of 9s when doesn't cover entire area - ANSWER -estimate % of teh area burned, not entire torso in Rule of 9s - ANSWER -18% each side legs in Rule of 9s - ANSWER -9% changes in the Rule of 9s for infants versus adults - ANSWER -legs is 7% head is 9% -larger head and smaller legs compared to adults legs in Rule of 9s for infants - ANSWER -7% TBSA smaller proportional legs compared to adults head in infants in rule of 9s - ANSWER -9%. larger head proportionally compared to adults correct way to use the palm method for calculating burns - ANSWER -1% = total area of the burn covered BY PT"S HAND (not providers) from palm to fingertips IVF fluid calculation for ELECTRICAL BURNS - ANSWER --note: different formula for flame burns ALL AGES 4ml LR x kg x % TBSA IVF used for fluid resuscitation in burns - ANSWER -Lactated RIngers important thing to consider when selecting a fluid resuscitation formula for burns - ANSWER -always LR used! electrical burns: all ages use 4ml LR xkgxTBSA% thermal burns r/t age -over 14yo is 2ml LR x...... -under 14 is 3ml LR x... -under 30kg is 3ml LR x.... but also needs D5LR at a maintence rate needs additional IVF if receives a thermal burn - ANSWER -if under 30kg, will need 3ml LR x kg x TBSA % AND D5LR at a maintence rate when do you use a foley catheter for burn vicitims - ANSWER -if TBSA is over 20%, needs foley catheter for: I&O fluid adjustments monitor for hypovolemic shock purpose of monitoring urinary output - ANSWER -surrogate for assessing adequacy of fluid resuscitation and renal perfusion priorities for burn victims post secondary assessment - ANSWER -assess extremity perfusion manage pain/anxiety assess for psychological trauma