Correct Answers
What is the parkland formula for fluid replacement ✅4ml LR x % of body burned x kg
Half goes over the first 8 hours the next half goes over the next 16
How to answer priority questions? ✅ABC's
How many of the cancers are genetic? ✅5%
Which means 95% don't
Where does chemotherapy work its best? ✅rapidly dividing cells rapidly growing
if tumor is small
if it is young
the older and bigger, the harder
Why do we do radiation before surgery? ✅To shrink the blood vessels and the size of
the tumor
What type of immunity is classified with breastfeeding a baby? ✅Passive natural
HIV positive patient with altered LOC, what might they have? ✅Meningitis
how is this diagnosed?
With an LP
What Parameter is our best indication to adequate fluid volume replacement? ✅Urine
output.
If urine is under 30-50 mL/hour you have to give more fluids, increase fluids by 100
mL/hour until the urine output is sufficient.
In a patient with neutropenia when would you call the MD if their temperature was at
what? ✅100.5
How do you diagnosis Cancer? ✅Cytology studies
Tissue biopsy
CBC/Chemistry profileSigmoidoscopy/Colonoscopy
LFT's
, Radiologic studies
CT scans
PET scans
Presence of Tumor markers (specific types)
Bone Marrow exam
Partial Thickness Superficial (First Degree) ✅Erythema, blanching on pressure, pain
and mild swelling, no vesicles or blisters (although after 24 hours skin may blister and
peel). Ex: Sunburn, no scarring, heals in 7-10 days.
Partial Thickness Deep (Second Degree) ✅Fluid-filled vesicles that are red, shiny, wet,
blisters. Severe pain caused by nerve injury. Mild to moderate edema. Ex: flame, flash,
scale, contact burns, chemical, tar, and electric current.
Full Thickness (Third and Fourth Degree) ✅Dry, waxy white, leather or hard skin,
visible thrombosed vessels. Insensitivity to pain because of nerve destruction. Possible
involvement of muscles, tendons, and bones. Ex: Flame, scald, chemical, tar, or electric
current
Electrical burns which pathway do they follow? ✅The pathway of least resistance
(Nerves and Blood Vessels) THE EASIEST
The pathway of highest resistance (Fat and Bone) THE HARDEST
What is a normal CD4 T-cell count? ✅800-1200
CD4 Tcell count that is 500? ✅risk for infection
CD4 Tcell count 200? ✅HIV
If your patient is exposed to Hepatitis what will be given to them to provide a temporary
immunity? ✅Gamma-Globulin shot
Your patient has had an inhalation injury how will you treat them? ✅100% humidified
oxygen if they have had Carbon Monoxide until you can get them intubated
How do you treat tumor lysis syndrome? ✅Fluids and allopurinol
Why do we use pressure garments in our burn patients? ✅To smooth the scar out.
This garment will not help get rid of the SCARS.