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Burns and Burn TreatmentMedical-Surgical Nursing-7th edition

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Question Answer
Inhalation injury _______ the glottis is a medical emergency.
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above
Which takes priority in burn patients; fluids or nutritional therapy to aid wound healing?
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Fluids
What is the most common complication of the rehab phase?
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Skin and joint contractures.
What is the open method of wound treatment?
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Burn is covered with only topical ointments.
If a shower is used to clean burn wounds is OK if the temperature is less than _______.
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104 degrees F
Immersion in a tank for wound cleansing should be done for less than _______ minutes to prevent electrolyte losses from opened burn areas.
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20-30 minutes (*can also lead to chilling and/or cross contamination)
A _______ is done within 6-12 hours for patients with subglottal inhalation injury to determine the extent.
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Bronchoscopy
The _______ phase of burns begins with the mobilization of ECF/diuresis and ends with skin grafting or wound healing.
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Acute
_______ creams should be used during the rehab phase.
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Emollient water-based creams
Burn patients are in a hypermetabolic state. What does this mean?
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Resting metabolic rate is increased by 50-100%. Core temp is elevated. Caloric needs: 5,000 cal/day. They can eat whatever they want!
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Depth? Sub Q tissue destruction. Dry, white or cherry red. Painless, no blanching, thrombosed vessels.
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Full thickness
Heat _______ and _______ determine extent of thermal burn injuries.
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intensity and exposure time
What is the most common type of burn?
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Thermal (flame, flash, scald, contact with hot object).
The ideal diet for a burn victim is high in...
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protein and carbs (*weigh often)
Depth? Involves epidermis. Red, dry, painful. 3-5 days healing time.
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Superficial partial-thickness
How can hypertrophic burn scarring be prevented?
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Pressure garments worn 24 x 7 for 12-18 months. Compliance and cost are issues.
In _______ weeks, burned areas become raised and hyperemic. Mature healing occurs within _______.
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4-6 weeks; mature = 6 months - 2 yrs. *Pressure can flatten scars.
Healed burn areas should be protected from sun for at least _______.
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a year
_______ injuries are a major predictor of mortality in burn victims.
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Smoke inhalation injuries
During excision and grafting, eschar is removed down to the...
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Sub Q tissue or fascia
How should a graft be cared for?
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Fine-mesh gauze on the graft. Middle and outer dressings. Keep skin graft sheets free of blebs.
  
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