Burn Therapy | Baamboozle - Baamboozle | The Most Fun Classroom Games!

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what is the parkland formula

2 mL/kg × % burn × weight in kg

4 mL/kg × % burn × weight in kg

4 mL/pound × % burn × weight in pounds

4.5 mL/kg × % burn × weight in kg

A 70kg patient has 18% burns to their body, determine the amount of fluid needed over 24 hours? 8hr mark, 16 hr mark, 24 hour mark.

5040, 1st 8 hours: 50% of total → 2520 mL 2nd 8 hours: 25% of total → 1260 mL 3rd 8 hours: 25% of total → 1260 mL

How much stronger is Carbon Monoxide's ability to bind to hemaglobin vs O2

30:1

200:1

150:1

50:1

A child has burns on the anterior torso, right leg, and the entire left arm. Use the Rule of Nines to calculate the total BSA percentage affected.

45%

A 30-year-old woman has burns covering her posterior trunk, the entire left leg, and the anterior right arm. Determine the total BSA percentage affected.

40.5%

what is a fourth degree burn

(superficial) epidermis Dry but blanchable, superficial

full thickness) Black, Non blanchable, charred

muscles tendons and bones

When dealing with Burn Surface area >20% what types of dressing do we use?

Vaseline Gauze

Bacitracin covered Gauze

Wet Dressing/Burn Sheet

Dry Dressing/Burn Sheet

A 70 kg patient has 36% burns to their body, determine the amount of fluid needed over 24 hours? 8hr mark, 16 hr mark, 24 hour mark.

10080, 1st 8 hours: 50% of total → 5040 mL 2nd 8 hours: 25% of total → 2520 mL 3rd 8 hours: 25% of total → 2520 mL

Which is the correct formula for Parkland for patients >30kg

2ml 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 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)

3ml LR x weight lb x %TBSA fluid in 24hrs (1/2 8 and 1/2 16)

What degree burn is this?

1st Degree

2nd Degree

4th Degree

3rd Degree

what are signs and symptoms of carbon monoxide poisoning?

confusion, anxiety, facial burns, sooty nose or mouth

Why is warmed Lacted Ringers the fluid of choice with BSA over 20%/

We can bill more for it.

It helps to buffer metabolic acidosis in early burn stages

It reduces the risk for third spacing due to is osmolality

It binds the CO in the bloodstream

Why do we only evaluate 2nd, 3rd and 4th degree burn surface area for estimation?

That's what the text book teaches

This question is wrong and all degree's are considered

We only evaluate 3rd and 4th degree burn surface area

There's no physiological change that occurs with 1st degree

what is a third degree burn

full thickness) Black, Non blanchable, charred

muscles, tendons, and bones

(superficial) epidermis Dry but blanchable, superficial

A 70kg patient has 27% burns to their body, determine the amount of fluid needed over 24 hours? 8hr mark, 16 hr mark, 24 hour mark.

7560, 1st 8 hours: 50% of total → 3780 mL 2nd 8 hours: 25% of total → 1890 mL 3rd 8 hours: 25% of total → 1890 mL

what takes place in the rehab phase of burns?

Rehabilitative: Discharge PT/OT Education on wound care Education on infection prevention Psychological support due to new body

A patient is an adult male who has burns to the anterior chest, left arm, and the entire right leg. Calculate the total BSA percentage affected.

45%

what does increased carbon monoxide poisioning mean in the body?

decrease in carbon in the body

Increased carbon monoxide means it replaces oxygen in RBC

increases oxygen in the blood

If inhalation Injury is expected what percentage of burn surface area does that add to our calculation?

15%

40%

30%

10%

At what Burn Surface Area do we initiate the Parkland Formula?

20%

40%

15%

10%

What is the target urine output for a burn patient to ensure proper fluid resusication

0.5-1ml/kg/hr with 30ml/hr minimum in adults

0.25-0.5ml/kg/hr with 20ml/hr minimum in adults

2ml/kg/hr with 40ml/hr minumum in adults

1.5mg/kg/hr with 45ml/hr minimum in adults

how long is the emergent phase of burns? what is the patient at risk for?

onset of injury - restoration, 24-48 hours; Hypovolemic shock Respiratory distress Compartment syndrome Hyponatremia Hyperkalemia Increased HCT Met. Acid.

what is a second degree burn

muscles, tendons, and bones

(Partial thickness)epidermis and dermis Blisters, blanchable

(superficial) epidermis Dry but blanchable, superficial

full thickness) Black, Non blanchable, charred

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)

65%

50%

40%

20%

what is carbon monoxide poisoning classified as?

lnhilation injury

thermal burn

electrical burn

iceberg effect

What are the two zones within a burn that have the possibility of healing.

zone of hyperemia, zone of coagulation

zone of stasis, twilight zone

zone of coagulation, zone of stasis

zone of hyperemia, zone of stasis

what % of carbon monoxide inhalation is toxic

10%

5%

15%

12%

How does Cyno-Kit assist in the excretion of Hydrogen Cyanide for the burn patient from an enlosed area

It stores the Cyanide for later fat metabolixm

It binds to Cyanide for excretion in the stool

It binds to Cyanide and allows it to be exhaled

Binds to Cyanide an converts to B12 for urine excretion

A 70kg patient has 4.5% burns to their body, determine the amount of fluid needed over 24 hours? 8hr mark, 16 hr mark, 24 hour mark.

1260, 1st 8 hours: 50% of total → 630 mL 2nd 8 hours: 25% of total → 315 mL 3rd 8 hours: 25% of total → 315 mL

how do you deliver oxygen to a patient with carbon monoxide poisoning?

room air

100% on venturi mask

4l nasal canula

100% on nonrebreather

what interventions should a nurse take during the emergent phase of a burn

time of injury Immediate Assess for the airways complications Hypovolemic shock risk is high IV fluid replacement

What is the best indicator of fluid replacement in the burn patient

Heart Rate

Blood Pressure

Urine Output

Heart Rate and Blood Pressure

what are interventions for the acute phase?

Wound care Healing starts to occur Skin grafting if needed Monitor labs (F/E) Diuretics

what is a first degree burn

full thickness) Black, Non blanchable, charred

(superficial) epidermis Dry but blanchable, superficial

muscles, tendons, and bones

(Partial thickness)epidermis and dermis Blisters, blanchable

how long is the acute phase of burns? what is the patient at risk for?

48-72 hours and goes until wound heals Risk for interventions

A 5-year-old boy suffers burns to the anterior right arm, entire head, and anterior right leg. Calculate the total BSA percentage affected using the Rule of Nines for children.

22.5%

18%

20%

5%

what medication would NOT be seen for burn management?

lasix

bactrin

morphine

silvadine

What would not be an indication to perform a chest escaratormy on a burn patient? (Circumferential burn on trunk cut through the subcutaneous tissue)

Signs of inhalation injury

High Peak Pressures on Ventilator

High PEEP Demands

Restricted chest wall movement/decreased oxygenation ability

What is our target FIO2 for a burn patient until a carboxyhemoglobin can be obtained

60%

40%

100%

Whats an FIO2

What causes third spacing with burn patients?

Increased fluid volume

Lymphatic System Obstruction

Loss of osmotic pressure/ Increased capillary permability

Decreased serum sodium

What percentage burn would you assign to the following patient?

40%

20%

12%

25%

An adult male has burns on the anterior head, both arms, and the posterior trunk. What is the total BSA percentage affected?

40.5%

A 70kg patient has 9% burns to their body, determine the amount of fluid needed over 24 hours? 8hr mark, 16 hr mark, 24 hour mark.

2520, 1st 8 hours: 50% of total → 1260 mL 2nd 8 hours: 25% of total → 630 mL 3rd 8 hours: 25% of total → 630 mL