NUR211 BURNS (EXAM 4) QUESTIONS
AND CORRECT ANSWERS
RULE OF 9'S GIVES A GENERAL IDEA, BUT WHEN WE GET TO A BURN UNIT, WE WILL USE
SOMETHING MORE SPECIFIC CALLED ANSW✅✅LUND AND BROWDER
THE MORE YOU BURN = ANSW✅✅THE LESS CHANCE YOU HAVE OF LIVING
*BC OF FLUIDS AND INFLAMMATORY RESPONSE AND INFECTION
BURN PATIENTS NEED TO RECEIVE ANSW✅✅PROPHYLACTIC ANTIBIOTICS IV - CENTRAL LINE
*2 LARGE BORE IVS INITIALLY WHEN THEY COME IN BUT THEN NEED A CENTRAL LINE PLACED
FACTORS THAT AFFECT MORTALITY ANSW✅✅-INHALATION INJURY
-TRAUMA AND FRACTURES
-CARDIAC, PULMONARY, RENAL DISEASE, DIABETES, CNS DISORDERS
WHAT COULD A PERSON INHALE IN A FIRE ANSW✅✅-SMOKE
-LUNGS MELTING/ TRAUMA CAUSED TO LUNGS = SWELLING/ IRRITATION = FLUID BUILDUP
WHAT ARE ASSESSMENT FINDINGS THAT MAY INDICATE INHALATION BURN ANSW✅✅-SINGED
NASAL HAIRS
-SOOT
-CARBON MONOXIDE LEVEL (WILL BE HIGH)
*ENSURE TO GET LUNG SOUNDS/ RESPIRATORY ASSESSMENT IF SUSPECT INHALATION THERAPY
SIGNS OF CARBON MONOXIDE POISONING ANSW✅✅-BEEFY RED/SWOLLEN TONGUE
-CHERRY RED LIPS
,ANY TYPE OF FULL THICKNESS BURN ON THE HANDS IS ANSW✅✅AUTOMATICALLY CLASSIFIED AS
A SEVERE BURN BECAUSE AS THAT BURN STARTS TO HEAL, IT CREATES SCAR TISSUE AND THEY
COULD LOSE ABILITY TO MOVE HAND
BURNS OF THE HEAD, NECK AND CHEST = ANSW✅✅PULMONARY COMPLICATIONS
FACIAL BURNS = ANSW✅✅CORNEAL ABRASIONS
HOW DO WE CHECK FOR CORNEAL ABRASIONS ANSW✅✅FLUORSCENE DYE
*PUT IT IN THEIR AND SHINE BLACK LIGHT ON IT
*TREAT WITH ANTIBIOTICS
EAR BURNS = ANSW✅✅AURICULAR CHONDRITIS AND INFECTION
HAND BURNS = ANSW✅✅INTENSE PHYSICAL AND OCCUPATIONAL THERAPY
PERIANAL BURNS = ANSW✅✅INFECTION DUE TO AUTO CONTAMINATION WITH URINE AND
FECES
CIRCUMFERENTIAL BURNS = ANSW✅✅DISTAL VASCULAR COMPROMISE
MOST AT RISK ANSW✅✅-LESS THAN 2 YEARS OLD
-GREATER THAN 60 YEARS OLD
*SIGNIFICANT DETERMINANTS OF SURVIVAL
BIG THINGS TO REMEMBER ABOUT BURNS ANSW✅✅-FLUID **
-INFECTION
-PAIN
FLUIDS AND BURNS ANSW✅✅-USE PARKLAND FORMULA
, -USE RULE OF 9'S
RULE OF 9'S ANSW✅✅
PARKLAND FORMULA ANSW✅✅
BAD BURNS ANSW✅✅-PARTIAL THICKNESS >10%
-FACE, HANDS, FEET, GENITAL, PERINEUM
-THIRD DEGREE
-ELECTRIC BURNS
-CHEMICAL BURNS
-INHALATION INJURY
-PRE-EXISTING MEDICAL CONDITIONS
-CONCOMINANT TRAUMA
-SPECIAL INTERVENTION
PARKLAND FORMULA TIMER STARTS : ANSW✅✅WHENEVER THAT PERSON GOT BURNED
BURNS CAN PUT YOU INTO ANSW✅✅BURN SHOCK
*CAUSES FLUID SHIFTING - NEED ALOT OF FLUID AND KEEP CVP UP
WHAT DO WE DO FOR ELECTRICAL BURNS ANSW✅✅-MONITOR RHYTHMS
-CAUSES DYSRHYTHMIAS BC OF ELECTRICAL ACTIVITY - FOLLOWS PATH OF LEAST RESISTANCE
-NEED TO ASSESS EVERYTHING THE ELECTRICAL CURRENT WENT THROUGH, DAMAGES EVERYTHING
IT TOUCHES
-CAUSES RELEASE OF POTASSIUM AND NEED TO WATCH HEART
PATHO OF A MAJOR BURN ANSW✅✅-INVOLVES ALL SYSTEMS
-CAUSES FLUID AND ELECTROLYTE IMBALANCES
AND CORRECT ANSWERS
RULE OF 9'S GIVES A GENERAL IDEA, BUT WHEN WE GET TO A BURN UNIT, WE WILL USE
SOMETHING MORE SPECIFIC CALLED ANSW✅✅LUND AND BROWDER
THE MORE YOU BURN = ANSW✅✅THE LESS CHANCE YOU HAVE OF LIVING
*BC OF FLUIDS AND INFLAMMATORY RESPONSE AND INFECTION
BURN PATIENTS NEED TO RECEIVE ANSW✅✅PROPHYLACTIC ANTIBIOTICS IV - CENTRAL LINE
*2 LARGE BORE IVS INITIALLY WHEN THEY COME IN BUT THEN NEED A CENTRAL LINE PLACED
FACTORS THAT AFFECT MORTALITY ANSW✅✅-INHALATION INJURY
-TRAUMA AND FRACTURES
-CARDIAC, PULMONARY, RENAL DISEASE, DIABETES, CNS DISORDERS
WHAT COULD A PERSON INHALE IN A FIRE ANSW✅✅-SMOKE
-LUNGS MELTING/ TRAUMA CAUSED TO LUNGS = SWELLING/ IRRITATION = FLUID BUILDUP
WHAT ARE ASSESSMENT FINDINGS THAT MAY INDICATE INHALATION BURN ANSW✅✅-SINGED
NASAL HAIRS
-SOOT
-CARBON MONOXIDE LEVEL (WILL BE HIGH)
*ENSURE TO GET LUNG SOUNDS/ RESPIRATORY ASSESSMENT IF SUSPECT INHALATION THERAPY
SIGNS OF CARBON MONOXIDE POISONING ANSW✅✅-BEEFY RED/SWOLLEN TONGUE
-CHERRY RED LIPS
,ANY TYPE OF FULL THICKNESS BURN ON THE HANDS IS ANSW✅✅AUTOMATICALLY CLASSIFIED AS
A SEVERE BURN BECAUSE AS THAT BURN STARTS TO HEAL, IT CREATES SCAR TISSUE AND THEY
COULD LOSE ABILITY TO MOVE HAND
BURNS OF THE HEAD, NECK AND CHEST = ANSW✅✅PULMONARY COMPLICATIONS
FACIAL BURNS = ANSW✅✅CORNEAL ABRASIONS
HOW DO WE CHECK FOR CORNEAL ABRASIONS ANSW✅✅FLUORSCENE DYE
*PUT IT IN THEIR AND SHINE BLACK LIGHT ON IT
*TREAT WITH ANTIBIOTICS
EAR BURNS = ANSW✅✅AURICULAR CHONDRITIS AND INFECTION
HAND BURNS = ANSW✅✅INTENSE PHYSICAL AND OCCUPATIONAL THERAPY
PERIANAL BURNS = ANSW✅✅INFECTION DUE TO AUTO CONTAMINATION WITH URINE AND
FECES
CIRCUMFERENTIAL BURNS = ANSW✅✅DISTAL VASCULAR COMPROMISE
MOST AT RISK ANSW✅✅-LESS THAN 2 YEARS OLD
-GREATER THAN 60 YEARS OLD
*SIGNIFICANT DETERMINANTS OF SURVIVAL
BIG THINGS TO REMEMBER ABOUT BURNS ANSW✅✅-FLUID **
-INFECTION
-PAIN
FLUIDS AND BURNS ANSW✅✅-USE PARKLAND FORMULA
, -USE RULE OF 9'S
RULE OF 9'S ANSW✅✅
PARKLAND FORMULA ANSW✅✅
BAD BURNS ANSW✅✅-PARTIAL THICKNESS >10%
-FACE, HANDS, FEET, GENITAL, PERINEUM
-THIRD DEGREE
-ELECTRIC BURNS
-CHEMICAL BURNS
-INHALATION INJURY
-PRE-EXISTING MEDICAL CONDITIONS
-CONCOMINANT TRAUMA
-SPECIAL INTERVENTION
PARKLAND FORMULA TIMER STARTS : ANSW✅✅WHENEVER THAT PERSON GOT BURNED
BURNS CAN PUT YOU INTO ANSW✅✅BURN SHOCK
*CAUSES FLUID SHIFTING - NEED ALOT OF FLUID AND KEEP CVP UP
WHAT DO WE DO FOR ELECTRICAL BURNS ANSW✅✅-MONITOR RHYTHMS
-CAUSES DYSRHYTHMIAS BC OF ELECTRICAL ACTIVITY - FOLLOWS PATH OF LEAST RESISTANCE
-NEED TO ASSESS EVERYTHING THE ELECTRICAL CURRENT WENT THROUGH, DAMAGES EVERYTHING
IT TOUCHES
-CAUSES RELEASE OF POTASSIUM AND NEED TO WATCH HEART
PATHO OF A MAJOR BURN ANSW✅✅-INVOLVES ALL SYSTEMS
-CAUSES FLUID AND ELECTROLYTE IMBALANCES
