SKIN - Burns (DEF & PATHO) - Responses to Burns and Assessment
11 important questions on SKIN - Burns (DEF & PATHO) - Responses to Burns and Assessment
What are the steps in the Primary Survey for assessment?
- Airway & Spine stabilization: open the airway
- Breathing: verify
- Circulation: check
- Disability: do quick neuro exam
- Exposure/environment: examine
What is the initial effect of a burn in the conditions leading to burn shock?
What actions are included in the Secondary Survey?
- Reassess A, B, C, D, and E
- Monitor vital signs, head to toe assessment
- Identify any associated injuries
- Obtain history
- Ask questions about events, tetanus
- Prophylaxis and pain medication
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What are some responses to a major burn injury?
- Altered immunological defenses
- Renal dysfunction, etc
- Pathophysiological changes
- Initial systemic event is hemodynamic instability due to loss of capillary integrity and shift of fluid, sodium, and protein from the intravascular space into interstitial spaces.
How does decreased blood volume contribute to burn shock?
What type of response do burns less than 25% produce?
What changes occur in intravascular volume and hematocrit during burn shock?
What happens when burns exceed 25%?
How does increased viscosity affect the conditions leading to burn shock?
What causes systemic responses in burns?
What are some effects of systemic responses to burns?
- Tissue edema
- Effects on fluid, electrolytes and blood volume
- Cardiovascular responses (cardiac output, hypovolemia, B.P, PR)
- Pulmonary responses (inhalation injuries, broncho-constriction, acute respiratory failure or respiratory distress syndrome)
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