Card Set Information

2011-11-14 17:25:02

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  1. What medications is given to alcoholics?
  2. What medication is given for potential drug overdose?
  3. What is given if the patient is hypoglycemic?
    50% dextrose/ water
  4. What burn will be red, dry, blanches, and is tender. It involves the epidermis and superficial dermis.
    Superficial Partial thickness (first degree)
  5. Which burn is moist, bullase (blisters) are present, and is very painful. Involves destructuction of the epidermis and deeper dermis.
    Deep partial thickness (second degree)
  6. Which burn is dry, leathery looking or translucent, color varies from yellow to red to brown or black, sweat glands and hair follicles are destroyed, and is not painful. Involves destruction of the epidermis, superficial, and deep dermis and subQ layer.
    Full thickness burn (third degree)
  7. What will you see in the first 72 hours following a burn injury? (2 things)
    Radically decreased urinary output with an increased specific gravity
  8. What will you see in the time from 72 hours to 2 weeks after initial burn injury?
    Increased urinary output (diuresis)
  9. What does silver sulfadiazine do that needs to be watched?
    Decreases WBC count
  10. What happens when HCO3 accompanies sodium (sodium gtets trapped, so bicarb also gets trapped)?
    Metabolic acidosis
  11. What will probably be necessary with a head and neck burn?
    Intubation b/c airway will swell
  12. After you calculate the amount of fluid needed for first 24 hours, how should that amount be administered?
    Give 1/2 the first 8 hours, then the other 1/2 over next 16 hours
  13. When do you want to give albumin?
    24 hours after at least
  14. How do you evaluate fluid response adequacy?
    • Urine output!!! (30-50 ml/hour)
    • Breath sounds
    • Edema
    • Vital Signs
  15. What is the parkland formula for fluid replacement?
    4 ml X kg X % BSA= ml needed for first 24 hours
  16. What are the main electrolytes effected by burns?
    • Sodium and potassium
    • (Hyponatremia and hyperkalemia)
  17. Burn patients need increased protein of how much?
    1.5 to 3.2 gm/kg of weight
  18. How many calories are needed per day?
    3500 to 5000
  19. How shoudl the arms be placed if shoulders are burned?
    Arms in 90 degree abduction (out away from the body)
  20. What zone of burn injury sustains the most damage?
    • Inner (zone of coagulation)
    • where cellular death occurs
  21. Which type of burn involves destruction of the epidermis and upper layers of the dermis & lower layers of dermis?
    Deep-partial thickness