NUR 623 (Adult_Gero Acute) MOD #1, burns and frostbite, quiz Questions with CORRECT
Answers (Grade A+)
Question 1:
four major types of burns
Answer:
thermal (hot water), radiation, chemical, electrical *deeper and larger than burn, the higher he
mortality rate
Question 2:
who you should intubate for burns
Answer:
facial/mouth burns, inhalation injury, increased burn size/depth, trauma, singed nasal/eyebrow
hair, hoarseness, airway edema, carboxyhemoglobin >10%
Question 3:
circular burns, clear edged burns, or burns with unique patterns may indicate
Answer:
abuse/self harm *burns on soles of feet could indicate immersion scalding burns
Question 4:
exposure to alkalis, acid, cement, lime, petroleum products -either ingested or direct contact
Answer:
chemical burns
Question 5:
tx chemical burns
Answer:
-remove dry powder from wound -flush with copious amounts of warm water
Question 6:
burns from a power source -transmitted through the bloody or electrical flash -can be low V <1000
or high V >1000 -highest risk for morbidity and mortality- CV RISK -high risk for airway collapse and
, rhabdomyolysis
Answer:
electrical burns
Question 7:
pearls for electrical burns
Answer:
-look out for extensive soft tissue damage -injury more severe than appears
Question 8:
tx electrical burns
Answer:
fluid resuscitation - start 4ml/kg/hr - titrate down to 0.5ml/kg/hr
Question 9:
burns from hot tar or asphalt
Answer:
tar burns
Question 10:
tx tar burns
Answer:
-rapid cooling of tar, remove tar once cooled with mineral oil and treat with a petroleum based
product
Question 11:
burns of epidermis only -red, blanching, pain - no vesicles -heals within 3-5 days with no scarring
Answer:
superficial burns (1st degree)
Question 12:
papillary dermis depth burns -blanching, painful vesicles - heals within 1-3 weeks, no hypertrophic
(raised) scar **BLISTERS
Answers (Grade A+)
Question 1:
four major types of burns
Answer:
thermal (hot water), radiation, chemical, electrical *deeper and larger than burn, the higher he
mortality rate
Question 2:
who you should intubate for burns
Answer:
facial/mouth burns, inhalation injury, increased burn size/depth, trauma, singed nasal/eyebrow
hair, hoarseness, airway edema, carboxyhemoglobin >10%
Question 3:
circular burns, clear edged burns, or burns with unique patterns may indicate
Answer:
abuse/self harm *burns on soles of feet could indicate immersion scalding burns
Question 4:
exposure to alkalis, acid, cement, lime, petroleum products -either ingested or direct contact
Answer:
chemical burns
Question 5:
tx chemical burns
Answer:
-remove dry powder from wound -flush with copious amounts of warm water
Question 6:
burns from a power source -transmitted through the bloody or electrical flash -can be low V <1000
or high V >1000 -highest risk for morbidity and mortality- CV RISK -high risk for airway collapse and
, rhabdomyolysis
Answer:
electrical burns
Question 7:
pearls for electrical burns
Answer:
-look out for extensive soft tissue damage -injury more severe than appears
Question 8:
tx electrical burns
Answer:
fluid resuscitation - start 4ml/kg/hr - titrate down to 0.5ml/kg/hr
Question 9:
burns from hot tar or asphalt
Answer:
tar burns
Question 10:
tx tar burns
Answer:
-rapid cooling of tar, remove tar once cooled with mineral oil and treat with a petroleum based
product
Question 11:
burns of epidermis only -red, blanching, pain - no vesicles -heals within 3-5 days with no scarring
Answer:
superficial burns (1st degree)
Question 12:
papillary dermis depth burns -blanching, painful vesicles - heals within 1-3 weeks, no hypertrophic
(raised) scar **BLISTERS
