Study Burns Flash Cards

 
Pile Management Card
Burns

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Extends beyond the boundaries of the original wound. It is more common in blacks and Asians?
KELOID SCARRING
An overgrowth of dermal tissue, often occurs at the edges and seams of grafts or ungrafted burns?
HYPERTROPHIC SCARRING
How long does edema take to peak post burn?
36 HOURS
The position of comfort is the position of?
CONTRACTURE
Xenograft?
ANIMAL SKIN (USUALLY A PIG)
Allograft?
*AKA HOMOGRAFT
*CADAVER SKIN
Allograft is AKA?
HOMOGRAFT
Autograft?
PT'S OWN SKIN
Describe subdermal burns?
*4 DEGREE BURNS
*EXTEND BEYOND THE DERMIS INTO THE MUSCLE, TENDON, FAT, OR BONE
*CHARRED OR MUMMIFIED APPEARANCE, DRY AND INSENSATE
*REQUIRES EXTENSIVE SURGICAL INTERVENTION, AND AMPUTATION OR MUSCLE PARALYSIS IS COMMON
4th degree burns are AKA?
SUBDERMAL BURNS
Describe full thickness burns?
*3RD DEGREE BURNS
*WHITE OR BLACK, DRY, NOT PAINFUL, MAY BE BLISTERED, NO BLANCHING SEEN
*POOR HEALING, MOST REQUIRE GRAFTING, EXTENSIVE SCARING
3rd degree burns are AKA?
FULL THICKNESS BURNS
Describe the percentages of the rule of nines?
*ANTERIOR/POSTERIOR TRUNK: 18% each
*UE's: 9% each
*Head: 9%
Thigh and lower leg: 9% each
*The perineum makes up the last 1%
Deep partial thickness burns (2nd degree burns)?
*PALE TO PINK, DRY, VERY PAINFUL, WITH BLISTERS
*NO BLANCHING SEEN
*DECREASED SENSATION TO TOUCH
*HEALING IMPAIRED, USUALLY REQUIRE GRAFTING
2nd degree burns are AKA?
DEEP PARTIAL THICKNESS BURNS
1st degree burns?
*INVOLVE ONLY THE EPIDERMIS (SUN BURN)
*RED AND PAINFUL
*HEAL IN SEVERAL DAYS
*NO SCAR FORMATION
Classification of burn injury is determined by?
EXTENT AND DEPTH
The shrinkage of a scar through the process of collagen remodeling and may intensify over months?
WOUND CONTRACTURE
The active movement of wound edges towards the center and is completed in a few weeks?
WOUND CONTRACTION
Maturation phase?
IMPROVES THE STRENGTH AND DURABILITY OF THE SCAR TISSUE AND CAN TAKE YEARS TO COMPLETE
Proliferation phase?
CREATES NEW GRANULATION TISSUE AND REVASCULARIZES THE AREA
Inflammatory phase?
*HELPS PREPARE THE WOUND FOR REPAIR

*THE MAJOR FUNCTION IS TO RID THE WOUND OF FOREIGN TISSUE AND FIGHT INFECTION.
What are the phases of healing?
*INFLAMMATION
*PROLIFERATION
*MATURATION
A scab is AKA?
ESCHAR
Wounds exposed to the air will form what?
SCAB
How long does it take a burn injury to fully mature?
ONE YEAR
Scar tissue that is mature?
(THE THREE P'S)

*PALE
*PLANAR
*PLIABLE
Scar tissue that is immature?
(THE THREE R'S)

*RED
*RAISED
*RIGID
Consists of the hypodermis?
*SUBCUTANEOUS FAT
*PACINIAN CELLS
*FREE NERVE ENDINGS
Detects cold?
FREE NERVE ENDINGS
Detects pressure?
PACINIAN CELLS
Provides insulation and shock absorption?
SUBCUTANEOUS FAT
Reticular layer?
CONSISTS OF COLLAGEN, ELASTIN, AND RETICULAR FIBERS TO PROVIDE STRENGTH AND RESILIENCE
Papillary layer?
CONSISTS OF CONNECTIVE TISSUE, BLOOD AND LYMPH VESSELS, MEISSNER'S CORPUSLES TO DETECT TOUCH, AND FREE NERVE ENDINGS TO DETECT HEAT AND PAIN
What are the layers of the dermis?
*PAPILLARY LAYER
*RETICULAR LAYER
Stratum basale?
UNDERGOES MITOSIS TO PRODUCE SKIN CELLS
Stratum spinosum?
CONTINUES SKIN CELL DEVELOPMENT FROM BASALE
Stratum granulosum?
PRODUCES KERATIN TO WATERPROOF SKIN
Pigment layer?
PRODUCES MELANIN TO PREVENT UV ABSORPTION
Stratus corneum?
AKA (EPIDERMIS): TOUGH LAYER OF DEAD KERATINOCYTES
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