Term
|
Definition
| partial-thickness injury involving only epidermis with intact skin function and tactile and pain sensors |
|
|
Term
| What are systemic effects of first-degree burns? |
|
Definition
| chills, headache, localized edema, and nausea or vomiting |
|
|
Term
| How long does it take for first-degree burns to heal? |
|
Definition
| 3-5 days without scarring |
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|
Term
|
Definition
| Superficial partial-thickness burn and deep partial-thickness burn |
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|
Term
| Superficial partial-thickness burns |
|
Definition
| destruction of epidermis and some dermis with tactile and pain sensors intact but absent skin function |
|
|
Term
| How long does it take for superficial partial-thickness degree burns to heal? |
|
Definition
blisters are present within minutes with pain
wounds last 3-4 weeks usually w/o scar formation |
|
|
Term
| Deep partial-thickness burn |
|
Definition
| involve entire dermis, sparing skin appendages such as hair follicles and sweat glands |
|
|
Term
| How are the wounds of a deep partial-thickness burn? |
|
Definition
waxy white and may or may not have blisters
skin "peels off" and takes many weeks to heal |
|
|
Term
| What is therapy for a deep partial-thickness burn? |
|
Definition
| surgical removal of burn would followed by autograft |
|
|
Term
|
Definition
| full-thickness burn involving destruction of entire epidermis, dermis, and often underly subcutaneous tissue |
|
|
Term
| What do third-degree burns look like? |
|
Definition
|
|
Term
| Is there pain with a third-degree burn? |
|
Definition
| no because of destruction of nerve endings |
|
|
Term
| Do third degree burns heal? |
|
Definition
|
|
Term
| For third degree burns, what do they use to measure extent of total body surface area burned? |
|
Definition
| Rule of Nines or Lund and Border Chart: severity combination of age, medical history, extent and depth of injury, and body area involved |
|
|
Term
| What's a major problem with third degree burns? |
|
Definition
|
|
Term
| What percentage of body needs to be burned to be considered major? |
|
Definition
|
|
Term
| What is a major(20%) burn associated with? |
|
Definition
| massive evaopartive water losses and flux of large amounts of fluid and electrolytes in body tissues with gerenalized edema, circulatory hypovolemia, and hypotension |
|
|
Term
| What life threatening thing can happen within minutes of a third degree burn? |
|
Definition
| hypovolemic shock b/c of fluid losses caused by increased capillary permeability persisting for 24 hours after burn injury |
|
|
Term
| What's a main thing to do for third-degree burn patients? |
|
Definition
| fluid resuscitation is administration of intravenous fluids to restore circulating blood volume |
|
|
Term
| What's the cardiovascular response to third degree burns? |
|
Definition
| loss of fluid and protein movement out of vascular compartment lead to decreased CO, elevated hematocrit and wbc count, and hypoproteinemia |
|
|
Term
| What's the immunologic response to third degree burns? |
|
Definition
increases susceptibility to burn wound sepsis
impaired phagocytosis
abnormal cellular and humoral immunieity
pulmonary edema may develop |
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