Burn & Smoke Inhalation Injuries

The Berkow’s Formula / Rule of 9s is used to quantify burns in pts _______ y.o only

Child w/ 1st degree burn & < 5% of their TBSA involved, you can try to allow them to

Normal Albumin level

The Lund & Browder Chart is used to quantify burns in pts _______ y.o only

Superficial burn involves the

Superficial partial-thickness burn involves the

Deep partial-thickness burn: involves the

Full-thickness burn: involves the

The zone of coagulation or necrosis in thermal burns is where the skin has lost _______. its where the _______ of the injury occurs

The zone of stasis in thermal burns surrounds the zone of coag. you'll have some impairment to the ______. Skin is ____

The zone of hyperemia in thermal burns is the _____ zone; There's lots of _____, _____, & ______ but good _______

Alkaline chemicals (i.e fertilizers, oven cleaners) have a __________ because of the difference in their ________

Direct contact electrical burns will have injury at the _____ , the ______, as well as injury along the _______

Arc electrical burn injuries (lightning strike) tend to have _______ injuries at the entry and exit sites

There's 2 forms of electricity; ____ current and _____ current. __________ current is what comes out of plugs and car batteries

Alternating currents are more dangerous bc they cause ____ of the muscles that prevents the patient from _______ r/i increased injury

Direct injuries from an electrical burn cause injuries from _______ and also the _______ that may result

Goal UOP for Infant and Young Children is at least _______

Goal UOP for Older Children (>12yo or >50 kg) is at least ______

The Parkland Formula is used to determine how much fluid resuscitation the pt needs which is ________ ; 1/2 given in first ___ hours since injury; other ½ given in the following _____ hours. used to tx pt w/ > ___ % BSA burned

Fluid resuscitation in a burn pt should be done with ______

When determining maintenance fluid you use ______ ml/kg for the 1st 10 kg of body weight; ____ ml/kg for the 2nd 10 kg; and then ____ ml/kg for anything over 20kg of weight

Burn patients are at extremely high risk for secondary ______ infection

The most common infection seen at the site of superficial burns is __________. Management includes _______ the site and start ________

Burns with invasive infections will develop _____, ____, or _____ discoloration. It'll be _____ and the eschar will ______. Also see s/s of ____ & inflammation of ______

Definitive diagnosis of invasive infections is a culture with > _____ organisms per gram of tissue

Burn patients are in a persistent _______ state d/t constantly burning energy to heal the skin----> requiring higher need for ______

The goal is to start tube feeds within _______ of injury

Formula for nutritional support in burn pts: 24 hr requirement
Infants (0-12 m.o): ________
Children 1-11 y.o: _________
Children > 12 y.o: _________

Burn pt. are very high risk for ______ w/ enteral feeds, especially when feeds are started > _______ after injury

Feeds for a burn pt should include ______, < ___% fat, and initiated w/in _____ of injury if possible to reduce the risk of diarrhea

Burn pts are at a high risk for diarhea & __________. Fluid resuscitation w/ _______ can be used to prevent this but if the level is < 2 then _______ should be used to replenish

When you increase the albumin level, you're increasing the ______ across the vessel membranes; This will pull fluid _______

What are the 3 main components of inhalation injuries?

Chemical pneumonitis from inhaled chemicals and ______; peaks around day ______.

Pt can also have a pneumonitis inhalation injury as a result of _____, _____, & ______

Systemic poisoning component of inhalation injuries is the result of ______ & _____ toxicity. Cyanide toxicity can be seen from burning ______

Hydroxocobalamin is a medication used to tx ________ by.....

A side effect of Hydroxocobalamin to be aware of is that it will cause the patients ______ to turn ______ or ______

Amyl Nitrate or Sodium Nitrate are medications that can be used as second line tx for _____

What should you be cautious of when using Amyl Nitrate or Sodium Nitrate to treat cyanide toxicity?