Exam (elaborations)
Wound Care Final Exam: Questions & Solutions (A+)
- Course
- Institution
Wound Care Final Exam: Questions & Solutions (A+)
[Show more]
Seller
Follow
Studyhall
Reviews received
Content preview
Wound Care Final Exam: Questions & Solutions (A+)Causes of burns Right Ans - scalding
flame
chemical
electrical
radiation
friction
Scalding Right Ans - -water or grease
-young or elderly--> esp those with compromised sensation
-patterns
Have water heater regulated at 120 degrees
In children:
-over head cause pulled something
-burn pattern typically downward with splash marks from accidental burns
-if circumferential tends to be abuse
Insensate pts:
-circumferential burns on feet and ankles from bath water
Will continue to burn until the source is removed and the skin cooled down
Flame Right Ans - inhalation injury
explosion
Pattern deps on what victim was wearing and the accelerant of the burn
-non-flame resistant clothes stick and create deeper burns
Inhalation the heat gen from combustion can cause sig thermal injury to the
upper airway
-soot can mech clog and irritate the airways causing reflex
bronchoconstriction
-lung damage
,Will continue to burn until the source is removed and the skin cooled down
-need to know what caught on fire: clothes vs actual skin
chemical Right Ans - -antifreeze
-household cleaning agents
-commerical agents
Results when skins comes in contact with a strong acid, alkaline, or corrosive
material
-everyday household cleaners
Never apply butter to a burn: acts as an insulator and trap the heat
Will continue to burn until the source is completely flushed away from
neutralized
-eye wash stations
Electrical Right Ans - pattern of least of resistance
-travels through nerves and vessels
-most serious damage occur along this pathway
--> heart could dev arrhythmias
--> damage to the eye from the electrical arc
--> thermal burns from clothes catching
Lightening: kills more than all natural disasters every year
-look like a feather: lichtenburg
Will see an entry/exit wound
Household voltage: 1000 V
Job related voltage: 1000+ V--> results in loss of limb or life
Radiation Right Ans - sunburn
Radiation therapy
Sunburn Right Ans - a form of erythema in which skin cells are damaged by
exposure to the ultraviolet rays in sunlight
,Damage it does over time!!!
-delayed UV induced redness by increase in BF to the affected area
-peaks at 8-24 hours following exposure
-caused by direct/indirect damage to spec cellular targets from photchem
reactions and prostaglandins leading to vasodilation and edema
-biologic response modifiers released by both keratinocytes and lymphocytes
play role
-redness= total failure of sun protection
1st= pink
2nd= blister
Radiation therapy Right Ans - caused by acute or chronic effects of ionizing
radiation
may involve:
-skin
underlying soft tissue
even deep structures such as bone
Friction or mechanical Right Ans - road rash
-MVA, bikes, motorcycles, skate boards
-abrasion of the skin: minor--> very painful
More common in younger people
Need moist wound healing to relieve discomfort and heal faster
Typically stays in 2nd
Old vs. new burn depth classification Right Ans - old: degrees
new: thickness
Defined by # of layers involved
Superficial burn = 1st degree Right Ans - epidermis only
, Dry, erythema and pain: nerve irritation and inflammed
Surface is typically dry it heals in sev days to weeks
EX: sunburn without blisters
Not included in total surface burn assessment
Partial thickness burn = 2nd degree Right Ans - characteristics:
-epidermis and dermis
-superficial partial and deep partial
Superficial partial thickness burn Right Ans - characteristics:
-epidermis and papillary dermis
-erythema, serous blisters
-blanchable, painful: exposure to sensory nerves
Surface can be moist
Heals in 14-21 days by epithelialization with minimal to no scarring
Deep partial thickness burn Right Ans - characteristics:
-epidermis and reticular dermis
-mottled white to pink
-less blanchable, painful
Hallmark:
-destruction of dermal vascular plexus: greatly diminished capillary return
with no or sluggish blanching when pressure is applied to the wound bed
Nerve endings are damaged = reduced sensation
Deeper burns tend to be dry with diminished fluid exudate compared with
more superficial burns
Heal time: weeks or progress to 3rd degree which would require grafting
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $28.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now