TNCC 20TH EDITION EXAM Updated 2024 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
Abrasion - ANSpartial or full-thickness wound that denudes the skin
age indication for transfer to burn center - ANSchild
Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue; wound edges not
well approximated
body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum, major joints
cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+ which can cause T
wave changes
complications associated with electrical burns - ANScardiac dysrhythmias
rhabdomyolysis with myoglobinuria
fractures
seizures
contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed hemorrhages into surrounding
tissue
criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA
fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation
first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming that affected area
can be thawed and not refreeze; avoid friction/rubbing
fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also for pediatrics,
inhalation burns, and intoxicated)
fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA; first half within 8
hours of the burn injury; remainder over the next 16 hours
fourth intervention for frostbite - ANSprotect from further injury -- splint extremities
hematoma - ANScontusion in which blood leaks under the skin surface and often forms a palpable mass
importance of temperature regulation with burns - ANSprotective skin barrier is lost leading to difficulty
maintaining temp
laceration - ANSopen wound from shearing forces through the dermis and epidermis with potential
involvement of underlying structures such as muscles, tendons, ligaments
other indications for transfer to burn center - ANS3rd degree burns
electrical/lightning
chemical
inhalation
concomitant trauma
preexisting complicating disorders
potential complication with rhabdomylysis - ANSacute kidney injury and renal failure from excretion of large
amounts of myoglobin
puncture - ANScaused by direct perpendicular penetration of objects into tissues
second intervention for frostbite - ANSpain medication
signs of burns to airway - ANShoarse voice
carbonaceous sputum
burns around nose or mouth
Document shared on https://www.docsity.com/en/classification-of-crude-
drugs/2147112/
Downloaded by: winnie-mumbi (kareey2021@gmail.com)
, TNCC 20TH EDITION EXAM Updated 2024 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
stridor
third intervention for frostbite - ANSextract fluid in clear blisters; leave blood blisters intact
Urinary output monitoring for adult burn patients - ANS0.5ml/kg/hour (or about 30 -50 ml/hour)
Urinary output monitoring for children weighing less than 40 kg (88 lbs) - ANS1 ml/kg/hour ly.
Abrasion - ANSpartial or full-thickness wound that denudes the skin
age indication for transfer to burn center - ANSchild
Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue; wound edges not
well approximated
body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum, major joints
cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+ which can cause T
wave changes
complications associated with electrical burns - ANScardiac dysrhythmias
rhabdomyolysis with myoglobinuria
fractures
seizures
contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed hemorrhages into surrounding
tissue
criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA
fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation
first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming that affected area
can be thawed and not refreeze; avoid friction/rubbing
fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also for pediatrics,
inhalation burns, and intoxicated)
fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA; first half within 8
hours of the burn injury; remainder over the next 16 hours
fourth intervention for frostbite - ANSprotect from further injury -- splint extremities
hematoma - ANScontusion in which blood leaks under the skin surface and often forms a palpable mass
importance of temperature regulation with burns - ANSprotective skin barrier is lost leading to difficulty
maintaining temp
laceration - ANSopen wound from shearing forces through the dermis and epidermis with potential
involvement of underlying structures such as muscles, tendons, ligaments
other indications for transfer to burn center - ANS3rd degree burns
electrical/lightning
chemical
inhalation
concomitant trauma
preexisting complicating disorders
potential complication with rhabdomylysis - ANSacute kidney injury and renal failure from excretion of large
amounts of myoglobin
puncture - ANScaused by direct perpendicular penetration of objects into tissues
second intervention for frostbite - ANSpain medication
Document shared on https://www.docsity.com/en/classification-of-crude-
drugs/2147112/
Downloaded by: winnie-mumbi (kareey2021@gmail.com)
, TNCC 20TH EDITION EXAM Updated 2024 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
signs of burns to airway - ANShoarse voice
carbonaceous sputum
burns around nose or mouth
stridor
third intervention for frostbite - ANSextract fluid in clear blisters; leave blood blisters intact
Urinary output monitoring for adult burn patients - ANS0.5ml/kg/hour (or about 30 -50 ml/hour)
Urinary output monitoring for children weighing less than 40 kg (88 lbs) - ANS1 ml/kg/hour Abrasion -
ANSpartial or full-thickness wound that denudes the skin
age indication for transfer to burn center - ANSchild
Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue; wound edges not
well approximated
body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum, major joints
cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+ which can cause T
wave changes
complications associated with electrical burns - ANScardiac dysrhythmias
rhabdomyolysis with myoglobinuria
fractures
seizures
contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed hemorrhages into surrounding
tissue
criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA
fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation
first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming that affected area
can be thawed and not refreeze; avoid friction/rubbing
fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also for pediatrics,
inhalation burns, and intoxicated)
fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA; first half within 8
hours of the burn injury; remainder over the next 16 hours
fourth intervention for frostbite - ANSprotect from further injury -- splint extremities
hematoma - ANScontusion in which blood leaks under the skin surface and often forms a palpable mass
importance of temperature regulation with burns - ANSprotective skin barrier is lost leading to difficulty
maintaining temp
laceration - ANSopen wound from shearing forces through the dermis and epidermis with potential
involvement of underlying structures such as muscles, tendons, ligaments
other indications for transfer to burn center - ANS3rd degree burns
electrical/lightning
chemical
inhalation
concomitant trauma
preexisting complicating disorders
potential complication with rhabdomylysis - ANSacute kidney injury and renal failure from excretion of large
amounts of myoglobin
Document shared on https://www.docsity.com/en/classification-of-crude-
drugs/2147112/
Downloaded by: winnie-mumbi (kareey2021@gmail.com)
, TNCC 20TH EDITION EXAM Updated 2024 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
puncture - ANScaused by direct perpendicular penetration of objects into tissues
second intervention for frostbite - ANSpain medication
signs of burns to airway - ANShoarse voice
carbonaceous sputum
burns around nose or mouth
stridor
third intervention for frostbite - ANSextract fluid in clear blisters; leave blood blisters intact
Urinary output monitoring for adult burn patients - ANS0.5ml/kg/hour (or about 30 -50 ml/hour)
Urinary output monitoring for children weighing less than 40 kg (88 lbs) - ANS1 ml/kg/hour Abrasion -
ANSpartial or full-thickness wound that denudes the skin
age indication for transfer to burn center - ANSchild
Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue;
wound edges not well approximated
body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum,
major joints
cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+
which can cause T wave changes
complications associated with electrical burns - ANScardiac dysrhythmias
rhabdomyolysis with myoglobinuria
fractures
seizures
contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed
hemorrhages into surrounding tissue
criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA
fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation
first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming
that affected area can be thawed and not refreeze; avoid friction/rubbing
fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also
for pediatrics, inhalation burns, and intoxicated)
fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA;
first half within 8 hours of the burn injury; remainder over the next 16 hours
fourth intervention for frostbite - ANSprotect from further injury -- splint extremities
hematoma - ANScontusion in which blood leaks under the skin surface and often forms a
palpable mass
Document shared on https://www.docsity.com/en/classification-of-crude-
drugs/2147112/
Downloaded by: winnie-mumbi (kareey2021@gmail.com)
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