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Burn Therapy

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    Flightcare Burn Treatment
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  • What is our target FIO2 for a burn patient until a carboxyhemoglobin can be obtained
    40%
    100%
    Whats an FIO2
    60%
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  • Why do we only evaluate 2nd, 3rd and 4th degree burn surface area for estimation?
    That's what the text book teaches
    We only evaluate 3rd and 4th degree burn surface area
    This question is wrong and all degree's are considered
    There's no physiological change that occurs with 1st degree
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  • How much stronger is Carbon Monoxide's ability to bind to hemaglobin vs O2
    200:1
    30:1
    150:1
    50:1
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  • Why is warmed Lacted Ringers the fluid of choice with BSA over 20%/
    It reduces the risk for third spacing due to is osmolality
    We can bill more for it.
    It helps to buffer metabolic acidosis in early burn stages
    It binds the CO in the bloodstream
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  • What degree burn is this?
    3rd Degree
    1st Degree
    2nd Degree
    4th Degree
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  • At what Burn Surface Area do we initiate the Parkland Formula?
    20%
    10%
    15%
    40%
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  • What would the estimated BSA be for the following patient (Acute burn injury to portions of the face, chest, back, abdomen, bilateral arms and legs, and groin)
    50%
    40%
    65%
    20%
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  • Which is the correct formula for Parkland for patients >30kg
    2ml LR x weight kg x %TBSA fluid in 24hrs (1/2 8 and 1/2 16)
    3ml LR x weight lb x %TBSA fluid in 24hrs (1/2 8 and 1/2 16)
    3ml LR x weight kg x %TBSA fluid in 16 hrs (1/2 8 and 1/2 8)
    2ml LR x weight kg x %TBSA fluid in 16 hrs (1/2 8 and 1/2 8)
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  • What is the best indicator of fluid replacement in the burn patient
    Heart Rate
    Blood Pressure
    Heart Rate and Blood Pressure
    Urine Output
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  • What is the target urine output for a burn patient to ensure proper fluid resusication
    2ml/kg/hr with 40ml/hr minumum in adults
    0.5-1ml/kg/hr with 30ml/hr minimum in adults
    0.25-0.5ml/kg/hr with 20ml/hr minimum in adults
    1.5mg/kg/hr with 45ml/hr minimum in adults
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  • If inhalation Injury is expected what percentage of burn surface area does that add to our calculation?
    10%
    30%
    40%
    15%
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  • What would not be an indication to perform a chest escaratormy on a burn patient? (Circumferential burn on trunk cut through the subcutaneous tissue)
    Restricted chest wall movement/decreased oxygenation ability
    Signs of inhalation injury
    High PEEP Demands
    High Peak Pressures on Ventilator
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  • How does Cyno-Kit assist in the excretion of Hydrogen Cyanide for the burn patient from an enlosed area
    Binds to Cyanide an converts to B12 for urine excretion
    It binds to Cyanide and allows it to be exhaled
    It stores the Cyanide for later fat metabolixm
    It binds to Cyanide for excretion in the stool
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  • What are the two zones within a burn that have the possibility of healing.
    zone of hyperemia, zone of coagulation
    zone of coagulation, zone of stasis
    zone of stasis, twilight zone
    zone of hyperemia, zone of stasis
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  • When dealing with Burn Surface area >20% what types of dressing do we use?
    Vaseline Gauze
    Wet Dressing/Burn Sheet
    Bacitracin covered Gauze
    Dry Dressing/Burn Sheet
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  • What causes third spacing with burn patients?
    Loss of osmotic pressure/ Increased capillary permability
    Decreased serum sodium
    Lymphatic System Obstruction
    Increased fluid volume
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