Major risks for pediatric burns
1. Hyperkalemia
2. infection
3. fluid loss
Urine output goal for kids with burns
0.5-2 ml/kg
Parkland formula for fluids
TBSA burned x childs wt in kg x 4 = number of mL to be infused in 24 hrs. Give first half in first 8 (start at time of injury) ...
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CORRECT ANSWERS
Major risks for pediatric burns - answer 1. Hyperkalemia
2. infection
3. fluid loss
Urine output goal for kids with burns - answer 0.5-2 ml/kg
Parkland formula for fluids - answer TBSA burned x childs wt in kg x 4 = number of mL to be
infused in 24 hrs. Give first half in first 8 (start at time of injury) then second 1/2 over the next
16 hours.
Cushing Triade - answer Assessment used in trauma pts: bradycardia, hypotension alteration of
respiratons (suggestive of spinal cord injury)
Basillar skull fracture sx - answer 1. hemotypanums = diruptions of cranial nerve 7 and 9
2. racoons eyes (echymosis below eyes)
3.Battles sign ( postaurical eccymosis)
Normal ICP in children and infants - answer 1. infants: 2-6
2. children 3-7
Sx of increased ICP - answer slurred speech, lethargy, posturing, seizures, ataxia while crawling,
walking etc.
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