Exam 2 Concept
NUR2790 Guide
(PN3)
Exam 2 Concept Guide
[MAP Question (1), Burn equations (10), Triaging patients Q’s (10), & SATA Q’s (9)]
[Round to nearest tenth for calculations]
1. Triaging patients: Given 4 patients, be able to prioritize them (Which one would
you see first)
a) (Of the four patients assigned, which one would you see first?)
2. Understand the difference between the colors of tags (green, yellow, red, black)
a) Criteria for each tag color
b) (Given a patient scenario, which tag color would be most appropriate)
c) (Who would be best for a green/yellow/red/black tag?)
3. Gentamicin – (Aminoglycoside)
a) Ointment; absorbed systemically
b) used to treat burn injuries
c) Can cause Nephrotoxicity & Ototoxicity
d) Know about it – what it effects, how it works, important lab values
4. Difference between septic shock and hypovolemic shock:
5. Septic Shock vs. Hypovolemic Shock
a) Septic shock includes antibiotics (Vancomycin); infuse with its own tube
b) What do you need to make sure of in a patient with hypovolemic shock and
you need to get a lot of volume in – (How are you going to do that?)
c) In caring for a patient in Hypovolemic shock, nursing-wise, what do you need
to do/make sure of to administer a large amount of fluid?
6. Medications used to treat anaphylactic
shock a) Epinephrine IM
7. Silver Sulfadiazine (antimicrobial)
a) Broad-spectrum cream; water-soluble
a) Use: Antimicrobial; treats gram (+/-) bacteria in burn patients (includes
Candida organisms)
b) Painless and soothing; may cause skin rash
c) closed method – wrap wounds dressing over burn after applying cream
8. Mafenide Acetate (bacteriostatic)
a) Class: Sulfonamide (topical cream)
, Exam 2 Concept
NUR2790 Guide
(PN3)
b) PPT: broad spectrum coverage, penetrates tissue wall; Open method
c) breakdown of medication causes a heavy acid load, acidosis
d) Bacteriostatic against many gram-positive & gram-neg bacteria (including
pseudomonas aeruginosa)
e) Use: In burn patients (2nd & 3rd degree burns) to prevent infections
f) Action: Penetrates the eschar to get down into the tissue
g) NC: After cleansing and debridement, apply using a sterile glove
▪ Can be painful Administer pain medication prior to wound care
▪ Assess surrounding skin for any allergic rashes
(Know the difference between Silver Sulfadiazine (antimicrobial; works on gram-neg &
gram-pos bacteria) &Mafenide Acetate (bacteriostatic; will burn through eschar so it can
work on healing on gram-neg & gram-pos)
9. Escharotomy vs. Fasciotomy (know the difference)
a) Escharotomy- incision of eschar for decompressing the constrictive effects
caused by deep circumferential burns.
▪ Full-thickness burns (3rd degree)
b) Fasciotomy- incision through the fascia overlying muscle compartments of
an extremity.
▪ Compartmental syndrome & Crush injuries (where the pressure builds
up)
10. What type of burns most prominent in children?
a)
11. Nursing interventions to prevent infection by auto-contamination in
a burn patient:
a) How do we prevent auto contamination when caring for burn patient?
12. Pain management: Medications used for tx of pain in burn patients
a) Types - IV opioid analgesics (morphine sulfate, hydromorphone, & fentanyl)
b) Intravenously (PCA infusion pump for continuous dosing)
13. S/S of Carbon Monoxide
a) CO is produced by the incomplete combustion of burning materials.
b) Pathophys - Inhaled CO displaces oxygen.
c) MOA: CO displaces o2 on hemoglobin hypoxia aka Carboxyhemoglobinemia
d) Dx: elevated carboxyhemoglobin levels indicate CO poisoning.
NUR2790 Guide
(PN3)
Exam 2 Concept Guide
[MAP Question (1), Burn equations (10), Triaging patients Q’s (10), & SATA Q’s (9)]
[Round to nearest tenth for calculations]
1. Triaging patients: Given 4 patients, be able to prioritize them (Which one would
you see first)
a) (Of the four patients assigned, which one would you see first?)
2. Understand the difference between the colors of tags (green, yellow, red, black)
a) Criteria for each tag color
b) (Given a patient scenario, which tag color would be most appropriate)
c) (Who would be best for a green/yellow/red/black tag?)
3. Gentamicin – (Aminoglycoside)
a) Ointment; absorbed systemically
b) used to treat burn injuries
c) Can cause Nephrotoxicity & Ototoxicity
d) Know about it – what it effects, how it works, important lab values
4. Difference between septic shock and hypovolemic shock:
5. Septic Shock vs. Hypovolemic Shock
a) Septic shock includes antibiotics (Vancomycin); infuse with its own tube
b) What do you need to make sure of in a patient with hypovolemic shock and
you need to get a lot of volume in – (How are you going to do that?)
c) In caring for a patient in Hypovolemic shock, nursing-wise, what do you need
to do/make sure of to administer a large amount of fluid?
6. Medications used to treat anaphylactic
shock a) Epinephrine IM
7. Silver Sulfadiazine (antimicrobial)
a) Broad-spectrum cream; water-soluble
a) Use: Antimicrobial; treats gram (+/-) bacteria in burn patients (includes
Candida organisms)
b) Painless and soothing; may cause skin rash
c) closed method – wrap wounds dressing over burn after applying cream
8. Mafenide Acetate (bacteriostatic)
a) Class: Sulfonamide (topical cream)
, Exam 2 Concept
NUR2790 Guide
(PN3)
b) PPT: broad spectrum coverage, penetrates tissue wall; Open method
c) breakdown of medication causes a heavy acid load, acidosis
d) Bacteriostatic against many gram-positive & gram-neg bacteria (including
pseudomonas aeruginosa)
e) Use: In burn patients (2nd & 3rd degree burns) to prevent infections
f) Action: Penetrates the eschar to get down into the tissue
g) NC: After cleansing and debridement, apply using a sterile glove
▪ Can be painful Administer pain medication prior to wound care
▪ Assess surrounding skin for any allergic rashes
(Know the difference between Silver Sulfadiazine (antimicrobial; works on gram-neg &
gram-pos bacteria) &Mafenide Acetate (bacteriostatic; will burn through eschar so it can
work on healing on gram-neg & gram-pos)
9. Escharotomy vs. Fasciotomy (know the difference)
a) Escharotomy- incision of eschar for decompressing the constrictive effects
caused by deep circumferential burns.
▪ Full-thickness burns (3rd degree)
b) Fasciotomy- incision through the fascia overlying muscle compartments of
an extremity.
▪ Compartmental syndrome & Crush injuries (where the pressure builds
up)
10. What type of burns most prominent in children?
a)
11. Nursing interventions to prevent infection by auto-contamination in
a burn patient:
a) How do we prevent auto contamination when caring for burn patient?
12. Pain management: Medications used for tx of pain in burn patients
a) Types - IV opioid analgesics (morphine sulfate, hydromorphone, & fentanyl)
b) Intravenously (PCA infusion pump for continuous dosing)
13. S/S of Carbon Monoxide
a) CO is produced by the incomplete combustion of burning materials.
b) Pathophys - Inhaled CO displaces oxygen.
c) MOA: CO displaces o2 on hemoglobin hypoxia aka Carboxyhemoglobinemia
d) Dx: elevated carboxyhemoglobin levels indicate CO poisoning.
