3210 exam 4

A major burn is considered an injury when it covers what percentage of the body?

20%

How can a burn occur?

Heat, freezing, electricity, radiation

Carbon monoxide has what type of affinity to HB

210 times more affinity

1st degree

Superficial, heals in 3-6 days

2nd degree

Heals in 1-3 weeks, minimal scaring

3rd degree

Deep thickness, greater than 3 weeks to heal, dense scaring

4th degree

Full thickness, no spontaneous healing

5th degree

Goes to the tendon and bone, no sensation, no spontaneous healing

What’s the purpose of the Wallace rule of nine

Helps to determine the extent of the burns on the body

Burn shock is a combination of hypovolemic shock and what other type of shock.

Distributive

What’s the best way to prevent sepsis in a burn patient

Perform debridement of Eschar

Define xenograft

Graft that comes from a species that is not human

Allograft

Graft that comes from the patient or a donor

What’s the main focus of treating a burn victim in the ED.

Airway management, fluid resuscitation, stripping the patient of all materials to stop further injury

What’s the most common form of inhalation injury

Smoke

How could you determine if a patient has an inhalation injury

Patient is coughing up soot

Inhalation injuries can lead to what dysfunctions of the airway

Edema, ciliary dysfunction, external compression of upper airway

What type of ventilator circuit should a burn victim be placed

HWC

What common complication of an inhalation injury

Bronchospams

What vitally important when treating a burn victim

Fluid resuscitation

What’s the normal COHB level?

1-3%

What’s the treatment for elevated COHB levels

Hyperbaric therapy or non rebreather

What’s determines the prognosis of a burn victim

Burn size measurement

Define drowning

Process of experiencing respiratory impairment form submersion/immersion in liquid

Submersion

Entire body in water

Immersion

Only face/mouth is in water

How are the lungs compromised with fresh water aspiration compared to salt water aspiration

Both lead to v/q mismatch

What should the body temp be of a drowning victim before declaring them dead

32-34 C

A decrease in lung complaince can be noted if

1 ml/kg of fluid is aspirated

How will the chest x ray appear of a drowning victim

Cardiogenic edema

Cardiac tamponade

Compression on the heart from fluid in the pericardial sac

What are 3 symptoms of becks triad

JVP dissension, systemic hypotension with a narrow pulse pressure and weak pulse, distant heart sounds

C4

Quadriplegia/teteaplegia

C6

Partial paralysis from arms to lower body

T6

Paraplegia below chest

L6

Paraplegia below the waist

What’s the difference between a complete and incomplete cervical spine injury

Complete is no movement and incomplete is some feeling or movement

What comes first, c-collar or advance airway placement

Airway

Meperidine alternative name and classification

Demerol and narcotic

Zemuron alternative name and classification

Rocuronium bromide and paralytic