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Flashcards in Burn Patients Deck (21)
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1
Q

Partial-thickness (second-degree) burns involve which layers of tissue?

A

Epidermis and dermis

2
Q

Movement of fluid occurring shortly after a burn describes which phase of the body’s response to a burn?

A

Fluid shift phase

3
Q

Superficial (first-degree) burns involve which layer of tissue?

A

Epidermis

4
Q

What is the opioid of choice in management of pain for burn patients?

A

Morphine is the most common drug for burn patients. Some clinicians do choose fentanyl and hydromorphone.

5
Q

What are the four phases of the body’s response to burns?

A

Emergent phase, fluid shift phase, hypermetabolic phase, resolution phase

6
Q

Scar tissue in laid down and remodeled, allowing rehabilitation to begin in this phase of the body’s response to a burn.

A

Resolution phase

7
Q

What time frame is the fluid amount of the Parkland Formula delivered?

A

Half the amount over the first eight hours from the time the burn occurs, then the other half over 16 hours

8
Q

What equipment/interventions should the critical care paramedic anticipate when transporting burn patients?

A

Oxygen/ventilatory adjuncts, intravenous fluids, adequate dressings, and pain medications

9
Q

Which body response phase to burns occurs immediately after a burn?

A

Emergent phase

10
Q

Full-thickness (third-degree) burns involve which layers of tissue?

A

Epidermis, dermis, and subcutaneous tissue

11
Q

Burns involving the front of both legs of a child is calculated to be how much total body surface area?

A

14%

12
Q

Burns greater then 10% percent of TBSA should be covered with what type of dressing?

A

Dry sterile dressing

13
Q

How is the Parkland Formula calculated?

A

4 mL X the patient’s weight in kg X TBSA%

14
Q

What occurs to the lower airways below the glottis when inhalation burns cause injury?

A

Edema, hypersecretion, bronchospasm, impaired immune defenses, airway mucosal ulcerations, and impaired mucociliary elevator

15
Q

The response phase of burns in which the burn heals.

A

Hypermetabolic phase

16
Q

What crystalloid solutions are preferred in burn trauma?

A

Lactated Ringer’s or normal saline

17
Q

What is the fluid resuscitation requirement for a 70 kg patient suffering from 27% burns?

A

7,560 mL

18
Q

Why is pulse oximetry of little value during evaluation of a patient exposed to carbon monoxide?

A

Carbon monoxide has 200 times more affinity to hemoglobin than oxygen and therefore provides a false positive result

19
Q

What signs and symptoms would indicate that an escharotomy or fasciotomy was necessary?

A

Circumferential burns, deep burns, deep tissue pain, delay or absence of pulses, progressive parasthesias

20
Q

The Parkland Formula is the standard of care for fluid resuscitation of which types of burns?

A

Partial and full-thickness burns

21
Q

A burn involving the head and neck of an adult patient is calculated to be how much total body surface area?

A

9%