Advanced Trauma – Questions With Solutions
Burns Correct Ans - described as a cutaneous injury resulting from
chemical, thermal, electrical, or environmental causes
Described by the depth of injury
Burns Classifications first degree Correct Ans - First degree:
involves epidermis and no injury to underlying dermis/sub-q fat
Scar tissue in laid down and remodeled, allowing rehab to bein in this
phase of the body's response to a burn Correct Ans - resolution
phase
A burn involving the head and neck of an adult pt is calculated to be how
much total body surface area Correct Ans - 9%
what is the fluid resuscitation requirement for a 70 kg pt suffering 27%
burns? Correct Ans - 7,560 ml
what s/s would indicate an escharotomy or fasciotomy is necessary
Correct Ans - circumferential burns, deep burns, deep tissue pain, or
delay in or absence of pulses, progressive paresthesia
how is the parkland formula calculated Correct Ans - 4 ml x pt
weight in kg x TBSA %
Movement of fluid occurring shortly after the burn describes which phase
of the bodies response to a burn Correct Ans - fluid shift phase
the response phase of burns in which the burn heals Correct Ans -
hypermetabolic phase
what eqpt/interventions should be anticipated for and during transport
Correct Ans - oxygen/ventilator eqpt, IV fluids, adequate dressings,
pain and sedation eqpt
what is the opioid of choise for pain mgt in burn pts Correct Ans -
morphine is most common however fentanyl is often a good choice for its
ability to maintain hemodynamic status
, which body response phase to burns occurs immediately after a burn
Correct Ans - emergent phase
what are 4 phases of body's response to burns Correct Ans -
emergent phase
fluid shift phase
hypermetabolic phase
resolution phase
why is pule oximitery of little value during the evaluation of a pt exposed to
CO Correct Ans - Co has 200 times more affinity to hemoglobin
than oxygen and therefore provides a false positive result
partial thickness (2 degree burns) involve what layers of tissue Correct
Ans - epidermis & dermis
burns greater than 10% TBSA should be covered with what type of
dressing Correct Ans - dry sterile dressing
what time frame is the fluid amount of parkland formula delivered
Correct Ans - half of the amount is over the first 8 hours from the time
the burn occurs,
the 2nd half is over the remaining 16 hours for a total of 24 hours
burns involving the front of both legs of a child is calculated to be how
much of TBSA Correct Ans - 14%
Parkland formula is standard of care for fluid resuscitation for which types
of burns Correct Ans - partial and full thickness burns of any type
what occurs to the lower airways below the glottis when inhalation burns
cause injury Correct Ans - edema, hypersecretion, bronchospasm,
impaired immune defenses, airway mucosal ulcerations, and impaired
mucociliary elevator
what crystalloid solutions are preferred in burn trauma? Correct Ans -
LR (lactated ringers) or NS (normal saline)
Burns Correct Ans - described as a cutaneous injury resulting from
chemical, thermal, electrical, or environmental causes
Described by the depth of injury
Burns Classifications first degree Correct Ans - First degree:
involves epidermis and no injury to underlying dermis/sub-q fat
Scar tissue in laid down and remodeled, allowing rehab to bein in this
phase of the body's response to a burn Correct Ans - resolution
phase
A burn involving the head and neck of an adult pt is calculated to be how
much total body surface area Correct Ans - 9%
what is the fluid resuscitation requirement for a 70 kg pt suffering 27%
burns? Correct Ans - 7,560 ml
what s/s would indicate an escharotomy or fasciotomy is necessary
Correct Ans - circumferential burns, deep burns, deep tissue pain, or
delay in or absence of pulses, progressive paresthesia
how is the parkland formula calculated Correct Ans - 4 ml x pt
weight in kg x TBSA %
Movement of fluid occurring shortly after the burn describes which phase
of the bodies response to a burn Correct Ans - fluid shift phase
the response phase of burns in which the burn heals Correct Ans -
hypermetabolic phase
what eqpt/interventions should be anticipated for and during transport
Correct Ans - oxygen/ventilator eqpt, IV fluids, adequate dressings,
pain and sedation eqpt
what is the opioid of choise for pain mgt in burn pts Correct Ans -
morphine is most common however fentanyl is often a good choice for its
ability to maintain hemodynamic status
, which body response phase to burns occurs immediately after a burn
Correct Ans - emergent phase
what are 4 phases of body's response to burns Correct Ans -
emergent phase
fluid shift phase
hypermetabolic phase
resolution phase
why is pule oximitery of little value during the evaluation of a pt exposed to
CO Correct Ans - Co has 200 times more affinity to hemoglobin
than oxygen and therefore provides a false positive result
partial thickness (2 degree burns) involve what layers of tissue Correct
Ans - epidermis & dermis
burns greater than 10% TBSA should be covered with what type of
dressing Correct Ans - dry sterile dressing
what time frame is the fluid amount of parkland formula delivered
Correct Ans - half of the amount is over the first 8 hours from the time
the burn occurs,
the 2nd half is over the remaining 16 hours for a total of 24 hours
burns involving the front of both legs of a child is calculated to be how
much of TBSA Correct Ans - 14%
Parkland formula is standard of care for fluid resuscitation for which types
of burns Correct Ans - partial and full thickness burns of any type
what occurs to the lower airways below the glottis when inhalation burns
cause injury Correct Ans - edema, hypersecretion, bronchospasm,
impaired immune defenses, airway mucosal ulcerations, and impaired
mucociliary elevator
what crystalloid solutions are preferred in burn trauma? Correct Ans -
LR (lactated ringers) or NS (normal saline)
