Critical Care Paramedic Test Questions and Answers

Critical Care Paramedic Test Questions and Answers 1st degree burn - Answer-Epidermis Redness Painful NO BLISTERS Minimal tissue distruction 2nd degree burn - Answer-Epidermis and portions of the dermis Red or pale Blisters Extreme pain 3rd degree burn - Answer-Entire epidermis and dermis Charred Dry Leathery 4th degree burn - Answer-Visible distruction to bone, muscle tendon, ligament Black and charred Fluid resuscitation needed - Answer-Burns greather than 15-20% BSA Rules of nine - Answer-Head and neck-9 Arm-9 Lef-18 Anterior trunk-18 Posterior trunk-18 Perineum-1 Rule of palm - Answer-Pt palm =1% Most accurate chart for BSA - Answer-Lund and Browder Minor burns - Answer-Partial thickness less than 15 Age extremes less than 10 Less than 2 of full thickness Moderate burns - Answer-Partial thickness of 15-20 Age extreme 10-15 Major burns - Answer-Partial thickness of more than 25 Age extreme greater than 20 Burns to these locations Face, hand, major joints, feet, perinium Associated with major trauma Electrical burns Circumferential burns to chest or extremities Caustic chemical burns Mortality increases 30% - Answer-Inhilation burn injuries Baux score - Answer-Age + BSA max score is 124 Normal COHb - Answer-Less than 10 Critical COHb - Answer-Greater than 40 Plasma volume - Answer-4cc/kg/hr lost 30 and up Zone of coagulation - Answer-3rd and 4th Irreversible damage Zone of stasis - Answer-2nd Zone of hyperemi - Answer-1st Minimial injury Stages of a burn - Answer-Hypovolemic- onset to first 48-72 Diuretic- 48-72 hours after Parkland burn formula - Answer-Adult 4cc/kg/bsa divided by 2 8hrs 16hrs Pedi- 3cc/kg/bsa Urine output - Answer-Adult 30-50cc/hr Adult electrical 75-100cc/hr Pedi 1cc/kg/hr Neonate 2cc/kg/hr Room temperature for burn pts - Answer-28-33C Stevens Johnson - Answer-Less than 10 Ten - AnswerEpidrmal Necrolysis - Answer-Antibiotics/medication induced or related Dilantin Bactrim