MDC4 Exam 2
1. Superficial Above basal layer of epidermis, mild to severe erythema is noted,Injured epider-
first-degree mis peels away; reveals new epidermis heals within 3-6 days without interventions
burns
2. Superficial Into upper layer of dermis, Moist, Red, Blanching, Blistering,Re-epithelialization
second-degree from skin adnexa About 2 wk healing time
burns
(superficial
partial-thickness)
3. Deep second-de- Deeper into dermis,Less moist,Less blanching,Less painful,Scar deposition, con-
gree burns (deep traction, limited re-epithelialization; may need grafting. 2-6wk healing time
partial-thickness)
4. Full thickness Entire thickness of skin destroyed, into fat. Any color (black, red, yellow, brown,
burn (third de- white)
gree) Dry. Contraction and scar deposition; requires grafting
, MDC4 Exam 2
5. Forth degree Damage extends into muscle, tendon, bone, Need specialized care; grafting does
burn not work
6. Burn patient care oxygen therapy
daily weights
Monitor Labs-Na, K
Teach about immunosupression and interventions to prevent infection
Nutrition-5000 calories per day
Physical therapy to prevent contracture
Compression dressings only when grafts are healed, Medications for pain
7. Parkland formula 4ml/BSA%/ kg of body weight, first half within the first 8 hours, 2nd half over the
next 16 hours.
, MDC4 Exam 2
8. total body sur- The amount of body surface affected and the depth of injury caused by a burn.
face area (TBSA)
9. A burn patient Encourage physical therapy with exercise that is not as painful.
refuses physical Acknowledge patient concerns, Provide pain relief
therapy due to
the pain it caus-
es, what should
the nurse do?
10. Types of shock Hypovolemic, Cardiogenic, Obstructive, & Distributive
11. Burn shock is Massive fluid shifts of plasma, electrolytes, and proteins into the burn wound
caused by: causing the inability of the circulatory system to meet the needs of cells, tissues,
and vital organs. Its a form of Hypovolemic Shock
12. Position for Hy- - Supine position
potention - raise legs
13. Lythotomy posi- Gynocology
tion
14. High Fowler's Po- resident sitting up almost straight, at 60 to 90 degrees
sition used in respiratory distress ,Increased ICP, and autonomic dysreflexia.
15. prone position
1. Superficial Above basal layer of epidermis, mild to severe erythema is noted,Injured epider-
first-degree mis peels away; reveals new epidermis heals within 3-6 days without interventions
burns
2. Superficial Into upper layer of dermis, Moist, Red, Blanching, Blistering,Re-epithelialization
second-degree from skin adnexa About 2 wk healing time
burns
(superficial
partial-thickness)
3. Deep second-de- Deeper into dermis,Less moist,Less blanching,Less painful,Scar deposition, con-
gree burns (deep traction, limited re-epithelialization; may need grafting. 2-6wk healing time
partial-thickness)
4. Full thickness Entire thickness of skin destroyed, into fat. Any color (black, red, yellow, brown,
burn (third de- white)
gree) Dry. Contraction and scar deposition; requires grafting
, MDC4 Exam 2
5. Forth degree Damage extends into muscle, tendon, bone, Need specialized care; grafting does
burn not work
6. Burn patient care oxygen therapy
daily weights
Monitor Labs-Na, K
Teach about immunosupression and interventions to prevent infection
Nutrition-5000 calories per day
Physical therapy to prevent contracture
Compression dressings only when grafts are healed, Medications for pain
7. Parkland formula 4ml/BSA%/ kg of body weight, first half within the first 8 hours, 2nd half over the
next 16 hours.
, MDC4 Exam 2
8. total body sur- The amount of body surface affected and the depth of injury caused by a burn.
face area (TBSA)
9. A burn patient Encourage physical therapy with exercise that is not as painful.
refuses physical Acknowledge patient concerns, Provide pain relief
therapy due to
the pain it caus-
es, what should
the nurse do?
10. Types of shock Hypovolemic, Cardiogenic, Obstructive, & Distributive
11. Burn shock is Massive fluid shifts of plasma, electrolytes, and proteins into the burn wound
caused by: causing the inability of the circulatory system to meet the needs of cells, tissues,
and vital organs. Its a form of Hypovolemic Shock
12. Position for Hy- - Supine position
potention - raise legs
13. Lythotomy posi- Gynocology
tion
14. High Fowler's Po- resident sitting up almost straight, at 60 to 90 degrees
sition used in respiratory distress ,Increased ICP, and autonomic dysreflexia.
15. prone position
