burns.txt

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Author:
nsmallwood
ID:
125018
Filename:
burns.txt
Updated:
2011-12-26 12:03:54
Tags:
absite
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Description:
burns
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  1. how can you differentiate deep 2nd from superficial 2nd degree burn
    • decreased sensation and loss of hair follicles
    • deep 2nd will need skin graft
  2. as opposed to adults children also need what other than IVF in first 24hrs
    • glucose
    • calcium
  3. use of albumin early in resuscitation may increase
    PNA
  4. Parkland formula used for what burns
    2nd/3rd greater than 20% BSA
  5. location of escharotomies
    • chest- lateral chest wall, subclavicular and above costal margin
    • fingers- axial not lateral
    • dorsum of hand not palmer
  6. mcc of death after burn
    infection
  7. best test to diagnose inhalational injury
    bronch
  8. signs of burn wound infection
    • rapid eschar separation
    • edema
    • conversion to 3rd degree
    • hemorrhage
    • erythema gangrenosum
    • green fat
    • black skin around wound
    • smell
  9. three top organisms in burn wound infection
    • pseudomonas
    • staph
    • e coli
  10. tx of burn wound infection
    excise with allograft + systemic abx
  11. side effect of silver nitrate
    • electrolytes ( decrease N, K, Cl, Ca)
    • methemoglobinemia
  12. side effect of sulfamylon
    • burns
    • metabolic acidosis
  13. normal level of carboxyhemoglobin in smokers
    20%
  14. eyelid stuck to conjunctiva
    symblepharon
  15. hypertrophic scars are secondary to what
    increased neovascularity
  16. how do you wipe of phenol or tar
    glycerol
  17. MCC of TEN EM or steven johnson
    Phenytoin, PCN, Sulfa/bactrim

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