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HESI Case Studies--Pediatrics-Burns
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HESI Case Studies--Pediatrics-Burns - What is the first step in assessing a patient with a major burn injury? ️️ Perform a primary survey focusing on airway, breathing, and circulation (ABC). - Why are inhalation burns particularly dangerous? ️️ They can cause airway swelling, car...

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  • November 21, 2024
  • 7
  • 2024/2025
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  • hesi case studies pediatrics burns

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HESI Case Studies--Pediatrics-Burns

- What is the first step in assessing a patient with a major burn injury?

✔️✔️ Perform a primary survey focusing on airway, breathing, and circulation (ABC).



- Why are inhalation burns particularly dangerous?

✔️✔️ They can cause airway swelling, carbon monoxide poisoning, and impaired gas exchange.



- How do thermal burns affect capillary integrity?

✔️✔️ They increase capillary permeability, causing fluid leakage into the interstitial space.



- Why should burn wounds not be cooled with ice?

✔️✔️ Ice can cause further tissue damage and exacerbate hypothermia.



- What is the key clinical sign of carbon monoxide poisoning in burn patients?

✔️✔️ Cherry-red skin color and altered mental status.



- Why are prophylactic antacids or proton pump inhibitors given to burn patients?

✔️✔️ To prevent stress ulcers (Curling's ulcers) from developing in the gastrointestinal tract.



- How does a burn injury compromise the immune system?

✔️✔️ It decreases white blood cell function and disrupts the skin barrier, making infection more likely.



- Why is early surgical debridement important in full-thickness burns?

✔️✔️ To remove necrotic tissue and reduce bacterial colonization.



- What should be assessed when circumferential burns are present?

, ✔️✔️ Distal pulses, capillary refill, sensation, and movement to identify vascular compromise.



- How is hyperkalemia managed in burn patients during the acute phase?

✔️✔️ Through measures like calcium gluconate, insulin with glucose, or dialysis if severe.



- Why is nasal flaring or intercostal retractions concerning in a burn patient?

✔️✔️ They may indicate respiratory distress or impending airway obstruction.



- What does persistent tachycardia in a burn patient suggest?

✔️✔️ Possible inadequate fluid resuscitation, pain, or early sepsis.



- Why is wound care with antimicrobial agents critical in burn management?

✔️✔️ To prevent infection and promote a moist environment for wound healing.



- What is the significance of a pale or dusky appearance of tissue under a burn wound?

✔️✔️ It may indicate poor perfusion or tissue necrosis.



- Why are frequent neurological checks necessary for patients with facial or neck burns?

✔️✔️ To monitor for cerebral hypoxia or carbon monoxide effects.



- How does electrical burn injury affect muscle tissue?

✔️✔️ It can cause rhabdomyolysis, leading to muscle breakdown and myoglobin release.



- Why is maintaining normothermia a priority in burn patients?

✔️✔️ Hypothermia can slow healing, worsen shock, and increase mortality risk.



- What does a sudden decrease in urine output indicate in a burn patient receiving fluid resuscitation?

✔️✔️ Possible acute kidney injury or inadequate fluid resuscitation.

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