Science Medicine Surgery
MED SURGE II FINAL EXAM
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How are burns categorized? Depth, Body Surface Area Burn, Severity, Risk factors of the client
Superficial burn (1st degree) Color pink to red
Erythema/ Blanch
There is Pain
NO BLISTERS
Healing time: 3 to 4 days
Example would be sunburn or Aquathermic pad
Superficial Partial Thickness (2nd Degree) Color: Pink to Red: MOIST
Edema:Mild to Moderate
PAIN YES
BLISTERS YES
Healing time 2-3 weeks, minor pigment changes.
EXAMPLE: Scalds, flames, brief contact with hot objects
Deep Partial Thickness (2nd degree) Color: Red to While/ slow to blanch: DECREASED CAPILLARY REFILL
Edema: Moderate
Pain: Yes but less because nerve endings are burned
ESCHAR: SOFT and DRY
Healing Time: 2-6 weeks, scar formation
Example: Flames,Scalds, Tar, Grease, or chemical burns
Full thickness Burn (3rd Degree) Color: black, brown, yellow, white, red, waxy, charred
Edema: SEVERE
Pain yes and no
Eschar: Yes hard and inelastic, leather
Healing time is weeks to months/ needs grafts
Example Scalds, grease, tar, chemicals
SWEAT GLANDS ARE DESTROYED
, Deep Full Thickness (4th degree) Color:black
NO EDEMA
NO PAIN
NO BLISTERS
Eschar: yes, hard, and inelastic
Healing time: weeks to months
Yes to grafts
Example: occurs with flame, electrical, or chemical injuries
DAMAGE EPIDERMIS, DERMIS, FASCIA, & TISSUES
Which complication can result from a circumferential full Leather Eschar can decrease circulation resulting in compartment syndrome.
thickness burn to a limb?
Compartment Syndrome Swelling in a confined space that produces dangerous pressure: may cut off
blood flow or damage sensitive tissue
6 P's of compartment syndrome are PAIN
PALLOR
PULSELESSNESS
PARALYSIS
PARETHESIA
POIKILOTHERMIA (COOLNESS)
Treatment for compartment syndrome Emergent fasciotomy
Which complications can result from a circumferential full Decreased chest excursion due to leathery eschar
thickness burn to the chest or thorax?
What is the treatment for decreased chest excursion due Escharotomy
to a full thickness burn?
How is the TBSA burned estimated for an adult rule of 9's
Rule of 9's adult head and neck 9%
chest and abdomen 18%
Back and Buttock 18%
Each Arm 9%
Each Leg 18%
Genitals 1%
What is TBSA with burns? Total Body Surface Area Burned
Which burn patients are high risk due to past medical Older adults hx of cardiac conditions chronic conditions
history
When should tentanus vaccine be given? After ABCDE
Asymmetry, Border, Color, Diameter, Evolving
MED SURGE II FINAL EXAM
Save
Students also studied
PN Environmental Emergencies Q a... PN Substance Abuse ATI PN Proctored Medsurg PN Bur
Teacher 36 terms Teacher 34 terms 68 terms Teacher
nursinginstructor55 Preview nursinginstructor55 Preview Saperindy Preview nur
How are burns categorized? Depth, Body Surface Area Burn, Severity, Risk factors of the client
Superficial burn (1st degree) Color pink to red
Erythema/ Blanch
There is Pain
NO BLISTERS
Healing time: 3 to 4 days
Example would be sunburn or Aquathermic pad
Superficial Partial Thickness (2nd Degree) Color: Pink to Red: MOIST
Edema:Mild to Moderate
PAIN YES
BLISTERS YES
Healing time 2-3 weeks, minor pigment changes.
EXAMPLE: Scalds, flames, brief contact with hot objects
Deep Partial Thickness (2nd degree) Color: Red to While/ slow to blanch: DECREASED CAPILLARY REFILL
Edema: Moderate
Pain: Yes but less because nerve endings are burned
ESCHAR: SOFT and DRY
Healing Time: 2-6 weeks, scar formation
Example: Flames,Scalds, Tar, Grease, or chemical burns
Full thickness Burn (3rd Degree) Color: black, brown, yellow, white, red, waxy, charred
Edema: SEVERE
Pain yes and no
Eschar: Yes hard and inelastic, leather
Healing time is weeks to months/ needs grafts
Example Scalds, grease, tar, chemicals
SWEAT GLANDS ARE DESTROYED
, Deep Full Thickness (4th degree) Color:black
NO EDEMA
NO PAIN
NO BLISTERS
Eschar: yes, hard, and inelastic
Healing time: weeks to months
Yes to grafts
Example: occurs with flame, electrical, or chemical injuries
DAMAGE EPIDERMIS, DERMIS, FASCIA, & TISSUES
Which complication can result from a circumferential full Leather Eschar can decrease circulation resulting in compartment syndrome.
thickness burn to a limb?
Compartment Syndrome Swelling in a confined space that produces dangerous pressure: may cut off
blood flow or damage sensitive tissue
6 P's of compartment syndrome are PAIN
PALLOR
PULSELESSNESS
PARALYSIS
PARETHESIA
POIKILOTHERMIA (COOLNESS)
Treatment for compartment syndrome Emergent fasciotomy
Which complications can result from a circumferential full Decreased chest excursion due to leathery eschar
thickness burn to the chest or thorax?
What is the treatment for decreased chest excursion due Escharotomy
to a full thickness burn?
How is the TBSA burned estimated for an adult rule of 9's
Rule of 9's adult head and neck 9%
chest and abdomen 18%
Back and Buttock 18%
Each Arm 9%
Each Leg 18%
Genitals 1%
What is TBSA with burns? Total Body Surface Area Burned
Which burn patients are high risk due to past medical Older adults hx of cardiac conditions chronic conditions
history
When should tentanus vaccine be given? After ABCDE
Asymmetry, Border, Color, Diameter, Evolving
