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Burns and Burn TreatmentMedical-Surgical Nursing-7th edition

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Question Answer
_______ are grafts grown from the patient's own skin and is used for large BSA burns or for those with limited skin for harvesting.
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Cultured Epithelial Autografts (CEA)
How many mL/hr of insensible losses can a severely burned patient have?
Show Answer
200-400 mL (normal is 30-50)
_______ and _______ begin burn wound repair within 6-12 hours of injury.
Show Answer
Fibroblasts and collagen fibrils
Electrical burns result in _______ caused by intense heat generated from an electrical current.
Show Answer
coagulation necrosis
How are patients with inhalation injuries above the glottis treated?
Show Answer
Humidified air and 100% oxygen. May be endotracheally intubated prophylactically. Monitor for stridor/abnormal breath sounds.
What does the severity of an electrical burn injury depend on?
Show Answer
Amount/type of voltage (AC worse). Tissue resistance (nerve is least resistant, blood vessels/muscle, bone is most resistant). Current pathway. Surface area and Duration.
To treat both continuous background pain and treatment induced pain _______ and _______ are given in combo.
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morphine with haloperidol; *treatment pain = SA analgesic
The multiple dressing method of burn care includes dressing changes every _______, every _______ days.
Show Answer
changes every 1-3 times every 12 hours to once every 3 days
How can electrical burns lead to sudden cardiac death?
Show Answer
Can lead to v. fib and titanic muscle contraction.
What are the clinical manifestations of an inhalation injury below the glottis?
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Carbonaceous sputum, ARDS, and pneumonia/pulmonary edema.
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Inhalation injury below the glottis may not have signs and symptoms for up to _______ hours.
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24 hours
Inhalation injury below the glottis is related to...
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length of exposure to smoke and/or toxic fumes
How is carbon monoxide poisoning treated?
Show Answer
100% oxygen, hyperbaric oxygen therapy, and PEEP.
When should wound treatment begin for a burn patient?
Show Answer
Once airway, circulation and fluid replacement (2 large bore IVs) have been established.
Depth? Sunburn...
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Deep partial thickness
Phases of Burn Management Emergent = _______, Acute = _______, Rehabilitative = _______
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Emergent = resuscitative, Acute = wound healing, Rehabilitative = restorative
What are 4 risk factors associated with higher mortality from burns?
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Age (children and elderly), Pre-existing cardiovascular, resp. and/or renal disease, and DM.
_______ is an electrolyte imbalance that can occur in burn victims related to prolonged hydrotherapy, excessive GI drainage or water intoxication.
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Hyponatremia
Why are alkali burns hard to manage?
Show Answer
They cause protein hydrolysis and liquefaction. Damage continues after alkali is neutralized because it seeps deep into the dermis.
Heavy smokers may have chronic carbon monoxide levels of _______ normally.
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10-15%
Inhalation injury _______ the glottis is a medical emergency.
Show Answer
above
  
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