This Burns - CEN Review quiz focuses on the skin, the body's largest organ, exploring its crucial functions like fluid retention, temperature regulation, antibacterial properties, and vitamin D production. Essential for healthcare professionals preparing for the CEN exam.
Blunt force trauma
Claustrophobia
Carbon monoxide poisoning
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Oxyhemoglobin
Carboxyhemoglbin
Carboxyl
Pulse oxymetry
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Normal Saline
D5W
Lactated Ringers
NS 0.45
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All burn patients
Burn patients with >20% TBSA injury
Burn patients with >10% TBSA injury
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Chemical
Electrical
Thermal
Radiation
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Absorbs topical bacteria through natural desquamation
Helps shed topical bacteria through natural desquamation
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Rule of Nines
Parkland formula (consensus formula)
Eppley formula (ratio formula)
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Signify full thickness burns and require immediate escharotomy
Signify vascular compromise and require escharotomy
Signify partial and require escharotomy
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Lips
Eyelids
Neck
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Various anatomical regions represent 9% or a multiple of 9% of TBSA
Adults and children are scored on the same scale
The pediatric score deviates from the adult score because of the large surface area of the child's head
Is rarely used to assess the extent of burn injury
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True
False
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A. asymptomatic b. coma - death c. tachypnea, altered mental status d. nausea, impaired dexterity
A. coma - death b. tachypnea, altered mental status c. asymptomatic d. nausea, impaired dexterity
A.tachypnea, altered mental status b. coma - death c. nausea, impaired dexterity d. asymptomatic
Second degree
Third degree
Full thickness
Partial thickness
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Convection
Radiation
Chemical
Electrical
Thermal
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Breakdown vitamin B
Produce vitamin D
Produce vitamin B
Breakdown vitamin D
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Strawberry tongue
Erythematous oropharynx
Stridor
Yellowing of sclera
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Partial thickness >5% of TBSA
Burns involving face, hands, feet, genitalia, perineum, major joints
Any third degree burn
Electrical burns including lightning strikes, chemical, inhalation, concomitant trauma and/or pre-existing medical conditions
Any second degree burn
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The temperature of the skin
The duration of contact with the burning agent
The temperature of the burning agent
The difference between the time of initial contact of the burning agent and the temperature of the skin
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A, b, c, d
B, a, c, d
D, a, b, c
D, a, c, b
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Adults = 2-4 ml LR x kg x %TBSA
Adults and children = 4 ml D5W x kg x TBSA
Children = 3-4 ml LR x kg x %TBSA (may require additional dextrose solution)
Adults and children = 1 L LR bolus q 4 H x 8 hrs
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Autograft - patients own tissue
Allograft - cadaveric, temporary
Xenograft - pig skin, temporary
Spirograft - circular patches, temporary
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First degree
Second degree
Third degree
Fourth degree
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Third degree
Fourth degree
Partial thickness with blistered eschar
Second degree with open blisters
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Full thickness burns
Head injury
Third degree burns
Inhalation of carbon monoxide
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5-10 years old
>65 years old
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Maintains auto-regulation of capillary endothelium, maintains normal pokilothermic response
Prevention of loss of body fluid, regulation of temperature
Protection from infection and injury, sensory contact with the environment
Prevents injury from trauma, allows heat to be absorbed via pores
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True
False
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Cool tar or asphalt with cold water, cover with petroleum ointment, dress lightly, remove tar or asphalt and assess for depth and severity.
Immediate escharotomy is indicated
Cool tar or asphalt with cold water, cover with petroleum ointment, dress lightly, removal of tar or asphalt is emergent in order to assess for depth and severity of burn.
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A&D ointment
Neosporin
Bacitracin
Polysporin
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Hypovolemia: intra-vascular/extracellular
Decreased cardiac index and peripheral blood flow
Oliguria
Fluid shift from interstitial to vascular space
Increased peripheral blood flow
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Fowler's ratio
Rule of Nines
Lund and Browder's rule
Palm of hand = 1/2% TBSA
ABA burn map
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True
False
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First degree
Second degree
Partial thickness
Third degree
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True
False
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Metabolic
Immunologic
Social and Interactive
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Sodium bicarbonate
Hydrogen chloride
Carbonic acid
Hydrogen cyanide
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Dermis
Subcutaneous tissue
Muscle
Bone
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Debride wounds and apply topical agents prior to transfer to a burn center.
Cover with clean dry sheet, and blankets to maintain body temp.
Keep patient uncovered to allow the wounds to cool
TBSA >10% may require wet dressings initially to help stop burning process and relieve pain.
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