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Exam (elaborations)

Pathophysiology and Management of Burns and HIV/AIDS

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Pathophysiology and Management of Burns and HIV/AIDS Burn Injury Mechanism - answerEnergy transfer from heat source causes cellular damage. Coagulation Zone - answerMost severe burn zone with irreversible cell death. Stasis Zone - answerPotential for recovery if blood flow is restored. Hyperem...

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  • November 11, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HIV/AIDS
  • HIV/AIDS
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Thebright
©THEBRIGHT EXAM SOLUTIONS

11/06/2024 7:22 PM



Pathophysiology and Management of Burns
and HIV/AIDS

Burn Injury Mechanism - answer✔Energy transfer from heat source causes cellular damage.

Coagulation Zone - answer✔Most severe burn zone with irreversible cell death.

Stasis Zone - answer✔Potential for recovery if blood flow is restored.

Hyperemia Zone - answer✔Least affected zone showing increased blood flow.

Skin Function Loss - answer✔Major burns increase infection risk and fluid loss.

Hypothermia - answer✔Impaired thermoregulation due to sweat gland damage.

Fluid Balance - answer✔Increased capillary permeability leads to edema.

Hypovolemic Shock - answer✔Progression from untreated plasma leakage and hypovolemia.

Cardiac Output - answer✔Initial decrease post-burn worsened by volume loss.

Hematocrit Levels - answer✔Increased due to fluid shifts, risk of thrombosis.

Hypermetabolism - answer✔Increased caloric needs leading to potential weight loss.

Gastric Dilation - answer✔Gastrointestinal complication due to fluid shifts.

Rule of Nines - answer✔Estimates burn size by body segment percentages.

Electrical Burns - answer✔Significant internal injury with delayed symptoms.

Partial Thickness Burns - answer✔Classified as superficial or deep based on depth.

Full Thickness Burns - answer✔Involves all skin layers, requires grafting.

Chemical Burns - answer✔Severity depends on concentration and contact duration.

Inhalation Injury - answer✔Critical complication requiring airway management.

Eschar Formation - answer✔Can lead to neurovascular compromise and ischemia.

Stages of Burn Care - answer✔Includes emergent, acute, and rehabilitation phases.

, ©THEBRIGHT EXAM SOLUTIONS

11/06/2024 7:22 PM

Surgical Debridement - answer✔Excising burns followed by skin grafting for recovery.

Circumferential Burns - answer✔Encircle extremities, increasing tissue pressure.

Escharotomy - answer✔Surgical procedure to relieve pressure from burns.

Nutritional Support Goals - answer✔Address metabolic needs and promote wound healing.

Early Enteral Feeding - answer✔Initiate within 4-6 hours to reduce mortality.

Indirect Calorimetry - answer✔Determines individualized calorie needs, reassess weekly.

Open Dressings - answer✔Topical agents applied without covering for air exposure.

Closed Dressings - answer✔Occlusive dressings protect wounds and maintain moisture.

Biological Dressings - answer✔Aid in healing using human or animal tissue.

Silver sulfadiazine 1% - answer✔Thick layer applied, change once or twice daily.

Mafenide acetate - answer✔Open exposure method, premedicate for pain.

Silver nitrate solution 0.5% - answer✔Wet dressings changed twice daily, poor eschar penetration.

Bacitracin - answer✔Butter on, reapply every 4-6 hours.

Gentamicin - answer✔Apply gently 3-4 times daily, painful application.

Mupirocin - answer✔Applied three times daily, may cause burning.

Neomycin/bacitracin/polymyxin - answer✔General topical antibiotic, applied 1-3 times daily.

Autograft - answer✔Skin graft from patient's own unburned skin.

Split-Thickness Skin Graft (STSG) - answer✔Includes epidermis and part of dermis.

Full-Thickness Skin Graft (FTSG) - answer✔Comprises entire dermal layer, robust coverage.

Sheet Graft - answer✔Applied as full sheet for cosmetic areas.

Meshed Graft - answer✔Allows expansion for larger burn areas.

Pedicle Flap - answer✔Graft attached to blood supply, complex areas.

Healing Time for Donor Sites - answer✔Typically heals within 10 to 14 days.

Pain Management - answer✔Essential for donor sites, includes medications.

Pressure Garments - answer✔Minimize hypertrophic scarring during healing.

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