NCLEX – BURNS STUDY GUIDE TEST WITH COMPLETE SOLUTIONS.
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Course
BURNS
Institution
BURNS
NCLEX – BURNS STUDY GUIDE TEST WITH COMPLETE SOLUTIONS.
After a burn, why and when does plasma seep out into the tissue? - CORRECT ANSWER increased capillary permeability, vessels are damaged from the heat
first 24 hrs
when are you most likely to go into shock after a burn - CORRECT A...
NCLEX – BURNS STUDY GUIDE TEST WITH COMPLETE SOLUTIONS.
After a burn, why and when does plasma seep out into the tissue? - CORRECT ANSWER increased capillary permeability, vessels are damaged from the heat first 24 hrs
when are you most likely to go into shock after a burn - CORRECT ANSWER 1st 24 hours
VS after a burn - CORRECT ANSWER FVD from edema so:
-decreased CO
-decreased UO
-tachy
-hypotension first (epi secreted so blood is shunted to vital organs)
will you have decreased or increased CO after burn? UOP? - CORRECT ANSWER decreased for both
electrolytes after a burn - CORRECT ANSWER hyponatremia
hyperkalemia
what is the most common airway injury - CORRECT ANSWER carbon monoxide poisoning
patho of carbon monoxide poisoning - CORRECT ANSWER carbon monoxide travels much faster than o2 and binds to hemoglobin first
hemoglobin carrying carbon monoxide instead of 02 now -> tissue hypoxia Tx of Carbon Monoxide poisoning? - CORRECT ANSWER 100% O2 via nonrebreather mask
pulse ox could be normal - still give 02
just detects that hemoglobin is bound
Rule of 9 burns - CORRECT ANSWER head - 9
arms - 9 each
front trunk - 18
back - 18
each leg - 18
genitals - 1
when is the rule of 9 done - CORRECT ANSWER right away in ER
then 2-3 days after when wound is better demarcated
#1 priority with airway injuries from burns - CORRECT ANSWER prophylactically ETT
emergency management of burns - CORRECT ANSWER assess for airway patency
administer 02
VS
IV fluid
elevate extremities (diuretics not used for edema)
keep pt warm
place on NPO
take clothing and jewelry off
parkland formula - CORRECT ANSWER 4 mL x Body Weight (kg) x % surface area burned
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