Hurst Review Burns Test / Revised Questions and Answers / Sure A+
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Course
Hurste Burns
Institution
Hurste Burns
After 48 hours, the patient will begin to diurese because fluid is going back into the vascular space. Now
what should you worry about? - - Fluid volume excess
Do you think a patient with burns need more or less calories? - - More
Electrical burns have two wounds. What are they? - - Entrance wou...
Hurst Review Burns Test / Revised
Questions and Answers / Sure A+
After 48 hours, the patient will begin to diurese because fluid is going back into the vascular space. Now
what should you worry about? - - Fluid volume excess
Do you think a patient with burns need more or less calories? - - More
Electrical burns have two wounds. What are they? - - Entrance wound and exit wound
How do you apply topical agents to a burn? - - Apply a thin layer using sterile gloves
- Aseptic technique
- Apply light gauze dressing to cover area
How do you calculate the amount of fluid to give a patient with a burn? - - (2-4 mL) X (Kg) X (%
TBSA burned)= total fluid replacement for first 24 hours
- Calculate the total amount of fluid needed for the first 24 hours and give half in the first 8 hours
How do you determine if a burn patient is getting adequate fluid replacement? - - Urine output
- 30 to 50 mL in an adult
- 75 to 100 mL in electrical injuries
- 1mL/kg/hr in children
How do you stop the burning process? - - Wrap the patient in a blanket
- Cool water for no more than 10 minutes (**NEVER ICE- INHIBITS BLOOD FLOW)
- Blankets keep out germs and keep in body heat
- Remove jewelry because of swelling
- Remove non-adhered clothing
- Cover burns with clean, dry cloth
, How do you treat carbon monoxide poisoning? - - 100% oxygen
- Puts more oxygen molecules in the "race"
How do you treat hydrogen cyanide poisoning? - - 100% oxygen
- Antidote may be given at the hospital
How does burn location help determine severity? - - If the burn is located on the face, neck, or
chest it can interfere with breathing
- If the burn is located on the hands, feet, joints, or eyes it can interfere with a productive life
How long can dressings be left in place on a burn? - - 3 to 4 days, depending on patient condition
How many large bore IVs will a patient need if they are receiving large amounts of fluids? - - Two
How often should you assess a burn patients intake and output? - - Every hour
If a burn patient's respirations are shallow, what are they retaining? What imbalance are they at risk
for? - - Carbon dioxide
- Respiratory acidosis
If a patient doesn't have bowel sounds, what will happen to the abdominal girth? - - Increases
If a patient is well nourished, the surgeon can re-harvest from the same donor site as soon as how many
days? - - 12 to 14
If a patient with burns is restless, what could this indicate? - - Inadequate fluid replacement
- Pain
- Hypoxia
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