N4581 - Exam 3 (Complex Needs/Reid)
Questions With Complete Solutions
Difference between subdural and epidural
hematomas
epidural: between skull and dura rapid expansion
with arterial blood, shaped like LEMON (think
e"PI"dural)
subdural: between dura and arachnoid, slow
expansion with venous blood, shaped like
banana (think suB=banana)
,What is battle's sign?
postauricular bruising indicative of skull fracture
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 by __________.
Occurs how long after injury?
Lasts how long?
inflammatory response
occurs w/in 10min of injury
leakage continues for 24-36 hours
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?
What should be used?
no longer than 10 minutes or risk hypothermia
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;
superficial (3)
partial-thickness superficial (2)
partial-thickness deep (4)
full-thickness (2)
s: pink, blanches w/ pressure, no blisters
pts: blisters, wet/shiny
ptd: may blister, white/red/pink, mottled, initially
moist then dry
ft: leathery, needs skin graft
What severity burn is classified as mottled?
How would you expect the burn to progress?
partial-thickness: deep
initially moist then dry
Patient is experiencing a brief loss of
consciousness followed by periods of alertness.
What type of hematoma do you suspect?
epidural: arterial blood, lemon shape, FAST
Dr. Reid's meaning regarding calculating total BSA
of burn;
face
head
arm
anterior arm
Questions With Complete Solutions
Difference between subdural and epidural
hematomas
epidural: between skull and dura rapid expansion
with arterial blood, shaped like LEMON (think
e"PI"dural)
subdural: between dura and arachnoid, slow
expansion with venous blood, shaped like
banana (think suB=banana)
,What is battle's sign?
postauricular bruising indicative of skull fracture
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 by __________.
Occurs how long after injury?
Lasts how long?
inflammatory response
occurs w/in 10min of injury
leakage continues for 24-36 hours
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?
What should be used?
no longer than 10 minutes or risk hypothermia
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;
superficial (3)
partial-thickness superficial (2)
partial-thickness deep (4)
full-thickness (2)
s: pink, blanches w/ pressure, no blisters
pts: blisters, wet/shiny
ptd: may blister, white/red/pink, mottled, initially
moist then dry
ft: leathery, needs skin graft
What severity burn is classified as mottled?
How would you expect the burn to progress?
partial-thickness: deep
initially moist then dry
Patient is experiencing a brief loss of
consciousness followed by periods of alertness.
What type of hematoma do you suspect?
epidural: arterial blood, lemon shape, FAST
Dr. Reid's meaning regarding calculating total BSA
of burn;
face
head
arm
anterior arm
