Term
| Intubation for burn victim. |
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Definition
| Prophlaxsis! Get it in the quick. can allways take it ou. |
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Term
| Age for young to old for burn victim |
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Definition
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Term
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Definition
| face, hands, feet eyes, ears, perinerum any JOINT!! |
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Term
| What is major concern for a perineum burn? |
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Definition
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Term
| Superficial Burn is what? |
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Definition
| Sunburn, only involve epidurms. Pink to red, painful, can blanch with pressure, quick cap refill, maybe a little bit of blistering and peeling, no scaring healing within 3-5 days, |
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Term
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Definition
| Also red (like superficial) , involve the epidurmis, and part of durmis layer, dosent destroy hair folicils, or swwet glans, more fluid filled, vesicle may appear, have LOTS of pain associate with it!, will blanch, slow cap refil, edema, |
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Term
| Deep durmal burn is what? |
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Definition
Also red, involve the epidurmis, and part of durmis layer, dosent destroy hair folicils, or swwet glans, more fluid filled, vesicle may appear, have LOTS of pain associate with it!, will blanch, slow cap refil, edema,
lots of pain! |
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Term
| Intermediate durmal burn is what?? |
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Definition
| Indeterminate demral: cant tell what it is… With a lot of burns they can tell for 24 hrs later, with chemicals it may continue to occur, |
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Term
| Full thikness burn is what? |
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Definition
| Involve destruction of dermis or epidurms, can be black white, chery red, brow, tissue becomes chard, stiff, no fluid. Nerve endings destroyed, the layering means they will have pain, edema often occurs, but may not be visiable, edema will put pressure on the nerves and vessels, like compartment syndrome, |
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Term
| What is the rule of nines, and what is each area worth? |
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Definition
| Rapid assesment of burn%BSA. Legs 18, perinum 1, arms 9, chest 18, head 9 |
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Term
| Lund and brenner chart used for? |
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Definition
| Burns, more accurate than rule of 9's. |
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Term
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Definition
| When the burn is happening, finishes when the burn stops affecting tissue! |
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Term
| Emergent burn phase is what? |
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Definition
| the inital treatment ABC's!! |
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Term
| Acute phase is what for burns? |
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Definition
| after a bit of stabilzation, IV's airwys in, tx begun, nutrition big deal now |
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Term
| Rehabilitation phase of burns is what? |
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Definition
| Rehab, lots of PT, surgerys, may be years! |
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Term
| What is important in the immidate phase of a burn? |
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Definition
| ABC, remove jewlery, tx life threatining first!, fluid balance problems. centril lines often placed!. |
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Term
| Can you put an IV over a burn? |
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Definition
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Term
| What is most important to monitor for a burn victim in emergent phase? |
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Definition
| ABG's, becsue O2 sats not allways accurate, Hypovolemia common!! Lots of potassium in blood! |
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Term
| What are cercumfrential burns? |
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Definition
| Burn is all the way around the area, creats constriction, ad we do and eschrotomy |
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Term
| What allways comes with inflmmation? |
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Definition
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Term
| What fluids does parklins use and what is the calculation? |
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Definition
| LR, NS, 4mlx%BSA x WT (kg) |
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Term
| What is time frame for fluids in parklans method? |
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Definition
| Give half over the first 8 hours, and the remainder over the next 16 hours |
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Term
| What is important with timing of fluids? |
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Definition
| remember that we START the time from the TIME OF THE BURN!!!! NOT from when we get them in the ER. |
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Term
| Muir and barkley uses what fluids, and what is calcuation? |
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Definition
| Coloid resucuitation with plasma. Each interval is .5x%BSA x wt (kg) |
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Term
| What are burn victims @ risk for in their urine? |
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Definition
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Term
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Definition
| Cut in skin to allow fluid to move and save the tissue (like in compartment syndrome) |
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Term
| Who needs transfering to burn clinic? |
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Definition
10% partial or full thickness if
<10 yrs or > 50 yrs.
20% other ages
Face, hands, feet, genitalia, perineum, or major joints
Electrical and chemical burns
Inhalation injuries
Circumferential burns of extremity or chest
Complications – pregnancy or medical problems |
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Term
| What do we do in the acute phase of a burn. |
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Definition
| PCA pump. drywrap. may do minor debridement, good nutrition is important as they have a large need for calories, temp is important! |
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Term
| What is given for a chemical burn? |
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Definition
Nutrilzing agent, steroids
antibiotics
anesthetics
reconstruction surgery |
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