NRSG 2500 - Exam #4 NRSG 2500 - Exam #4 Unit 7 & 8
Questions With Complete Solutions
Cause :
- Prolonged exposure of high-voltage electrical injury
Skin involvement
- Deep tissue, muscle and bone
Clinical Manifestations
- Shock
- Myoglobuinura (red pigment in urine) and possible hemolysis
(blood cell destruction)
Wound appearance :
- Charred
Recuperative Course and Treatment
- Amputations liekly
- Grafting of no benefit given depth and severity of wounds
Fourth degree (full thickness that includes fat, fascia, muscle,
and or bone)
Methods to estimate total body surface area (TBSA) burned :
- Rule of ________
- ______ methods
nines
palm
,Rule of Nines in Adults - Picture
For children's and infants the _____ and ______ method is used
to estimate burns
Lund and Browder
Goals Related to Burns
•___________!
•Institution of life-saving measures for the severely burned
person
–Priorities: ________, circulation (fluid status/imbalances),
monitor & prevent complications, pain
•Prevention of disability and disfigurement through early
specialized and individualized care (_________ prevention)
•Rehabilitation through reconstructive surgery and rehabilitation
programs
Prevention
airway
contracture
The healing Process of a Burn
•______________: Begins immediately when burn occurs
•____________: Begins 2-3 days post burn
•_____________: May last for years
,inflammation
Proliferation
remodeling
Physiological Changes
•Burns less than 20% TBSA produce primarily a ________
response.
•Burns more than 20% may produce a local and ________
response and are considered major burns.
•The greatest fluid volume leak occurs in the first __-__ hours.
local
systemic
24-36
Physiological Changes
Body System : Cardiovascular
Physiologic Changes :
- Cardiac depression, _______, hypovolemia
edema
Physiological Changes
Body System : Pulmonary
Physiologic Changes : __________, edema
, vasoconstriction
Physiological Changes
Body System : Gastrointestinal
Physiologic Changes : Impaired motility and absorption,
____________, loss of mucosal barrier function with bacterial
translocation, __________ pH
vasoconstriction, increased
Physiological Changes
Body system : Kidney
Physiological changes : ______________
vasoconstriction
Physiological changes
Body system : Other
Physiological changes : altered thermoregulation, ___________,
hypermetabolism
Immunodepression
Management of Shock - Fluid Resuscitation :
Managing Fluid Status
•Maintain heart rate less than ____ (or upper range for age)
Questions With Complete Solutions
Cause :
- Prolonged exposure of high-voltage electrical injury
Skin involvement
- Deep tissue, muscle and bone
Clinical Manifestations
- Shock
- Myoglobuinura (red pigment in urine) and possible hemolysis
(blood cell destruction)
Wound appearance :
- Charred
Recuperative Course and Treatment
- Amputations liekly
- Grafting of no benefit given depth and severity of wounds
Fourth degree (full thickness that includes fat, fascia, muscle,
and or bone)
Methods to estimate total body surface area (TBSA) burned :
- Rule of ________
- ______ methods
nines
palm
,Rule of Nines in Adults - Picture
For children's and infants the _____ and ______ method is used
to estimate burns
Lund and Browder
Goals Related to Burns
•___________!
•Institution of life-saving measures for the severely burned
person
–Priorities: ________, circulation (fluid status/imbalances),
monitor & prevent complications, pain
•Prevention of disability and disfigurement through early
specialized and individualized care (_________ prevention)
•Rehabilitation through reconstructive surgery and rehabilitation
programs
Prevention
airway
contracture
The healing Process of a Burn
•______________: Begins immediately when burn occurs
•____________: Begins 2-3 days post burn
•_____________: May last for years
,inflammation
Proliferation
remodeling
Physiological Changes
•Burns less than 20% TBSA produce primarily a ________
response.
•Burns more than 20% may produce a local and ________
response and are considered major burns.
•The greatest fluid volume leak occurs in the first __-__ hours.
local
systemic
24-36
Physiological Changes
Body System : Cardiovascular
Physiologic Changes :
- Cardiac depression, _______, hypovolemia
edema
Physiological Changes
Body System : Pulmonary
Physiologic Changes : __________, edema
, vasoconstriction
Physiological Changes
Body System : Gastrointestinal
Physiologic Changes : Impaired motility and absorption,
____________, loss of mucosal barrier function with bacterial
translocation, __________ pH
vasoconstriction, increased
Physiological Changes
Body system : Kidney
Physiological changes : ______________
vasoconstriction
Physiological changes
Body system : Other
Physiological changes : altered thermoregulation, ___________,
hypermetabolism
Immunodepression
Management of Shock - Fluid Resuscitation :
Managing Fluid Status
•Maintain heart rate less than ____ (or upper range for age)
