N4581 - Exam 3 Complex Needs Questions and Answers
True or False: IV cannot be placed through burned skin False
True or False: BP cuff can be placed over burned skin True
An increased capillary permeability after a burn is caused inflammatory response
by______ _. occurs w/in 10min of injury
Occurs how long after injury? leakage continues for 24-36 hours
Lasts how long?
Fluid resuscitation is needed when? >20% BSA
Burn severity is influenced by (3) temp of burning agent
duration of contact
type of tissue injured
What can minimized the depth of a burn? cooling w/in 1 minute of burn (cool water, NOT ICE ∵ vasoconstriction)
Large burns should be cooled for how long? no longer than 10 minutes or risk hypothermia
What should be used? use water, never ice (will cause vasoconstriction and ↓circulation ∴
↑ischemia)
What type of burn is not used in calculating total BSA? superficial!
, Define the following burn types; s: pink, blanches w/ pressure, no blisters
superficial (3) pts: blisters, wet/shiny
partial-thickness superficial (2) ptd: mayblister, white/red/pink, mottled, initially moist then dry
partial-thickness deep (4) ft: leathery, needs skin graft
full-thickness (2)
What severity burn is classified as mottled? partial-thickness: deep
How would you expect the burn to progress? initially moist then dry
Patient is experiencing a brief loss of consciousness epidural: arterial blood, lemon shape, FAST
followed by periods of alertness. What type of hematoma
do you suspect?
Dr. Reid's meaning regarding calculating total BSA of face: 4.5%
burn; head: 9% (means front and back)
face arm: 9% (means front and back)
head anterior arm: 4.5%
arm
anterior arm
Describe the stick man for calculating total BSA for burns front:
face = 4.5
chest (top & bottom) = 18
legs (each) = 9
arms (each) = 4.5
groin = 1
back:
head = 4.5
back (top & bottom) = 18
legs (each) = 9
arms (each) = 4.5
Define the ABA fluid resuscitation formula give LR @ 2mL/kg/total BSA for first 24 hours
give half in 1st 8hours (from burn time)
give remainder in 16h
*don't use for electrical burns: 4 mL/kg/hr*
Patient presents to ER at 14:00 with burns to 32% of his a) 2mL x 85kg x 32 = 5440 mL in 24 hours
body after a grilling accident occurring at 12:00. Patient b) must get 2720 mL by 20:00(8 hours from BURN not from admission)
weighs 85kg c) 453 mL/hr for first 6 hours
a) how much fluid should patient receive in the next day? d) at 20:00 rate will ↓ to 170 mL/hr
b) patient should receive ___ mL by what time?
c) what rate will you set infusion?
d) at 20:00 rate will decrease to ________
True or False: IV cannot be placed through burned skin False
True or False: BP cuff can be placed over burned skin True
An increased capillary permeability after a burn is caused inflammatory response
by______ _. occurs w/in 10min of injury
Occurs how long after injury? leakage continues for 24-36 hours
Lasts how long?
Fluid resuscitation is needed when? >20% BSA
Burn severity is influenced by (3) temp of burning agent
duration of contact
type of tissue injured
What can minimized the depth of a burn? cooling w/in 1 minute of burn (cool water, NOT ICE ∵ vasoconstriction)
Large burns should be cooled for how long? no longer than 10 minutes or risk hypothermia
What should be used? use water, never ice (will cause vasoconstriction and ↓circulation ∴
↑ischemia)
What type of burn is not used in calculating total BSA? superficial!
, Define the following burn types; s: pink, blanches w/ pressure, no blisters
superficial (3) pts: blisters, wet/shiny
partial-thickness superficial (2) ptd: mayblister, white/red/pink, mottled, initially moist then dry
partial-thickness deep (4) ft: leathery, needs skin graft
full-thickness (2)
What severity burn is classified as mottled? partial-thickness: deep
How would you expect the burn to progress? initially moist then dry
Patient is experiencing a brief loss of consciousness epidural: arterial blood, lemon shape, FAST
followed by periods of alertness. What type of hematoma
do you suspect?
Dr. Reid's meaning regarding calculating total BSA of face: 4.5%
burn; head: 9% (means front and back)
face arm: 9% (means front and back)
head anterior arm: 4.5%
arm
anterior arm
Describe the stick man for calculating total BSA for burns front:
face = 4.5
chest (top & bottom) = 18
legs (each) = 9
arms (each) = 4.5
groin = 1
back:
head = 4.5
back (top & bottom) = 18
legs (each) = 9
arms (each) = 4.5
Define the ABA fluid resuscitation formula give LR @ 2mL/kg/total BSA for first 24 hours
give half in 1st 8hours (from burn time)
give remainder in 16h
*don't use for electrical burns: 4 mL/kg/hr*
Patient presents to ER at 14:00 with burns to 32% of his a) 2mL x 85kg x 32 = 5440 mL in 24 hours
body after a grilling accident occurring at 12:00. Patient b) must get 2720 mL by 20:00(8 hours from BURN not from admission)
weighs 85kg c) 453 mL/hr for first 6 hours
a) how much fluid should patient receive in the next day? d) at 20:00 rate will ↓ to 170 mL/hr
b) patient should receive ___ mL by what time?
c) what rate will you set infusion?
d) at 20:00 rate will decrease to ________
