burn injury and the management

Below are the normal temperature that human skin can addapt?

• 47 degree celcius

• -25 degree celcius

• -17 degree celcius

• 120 degree Farenheit

Which of these injury is/are not considered as burn injury

• lightning strikes

• scalded by burning hot oil during cooking

• warm skin lesion during sun bathing

• blister at diathermy pad after prolong surgery

During acute phases of burn injury , cardiac responded by :

• increasing heart rate

• reducing diastolic relaxation

• reducing systolic contraction

• no spesific changes

In acute phase of burn injury, cellular swelling happen because of

• inward shift of Na+ and K+

• membrane action potential reduce

• Increase permeability of vascular leading to increase vascular resistance

• protein leakage cause increase osmotic pressure at interstitial space

below are the haematological response towards burn injury

• red cell mass reduce due to direct loses

• thrombocytosis happens during early phases due to inflammation

• haemolysis happen usually after 72 hours of burn injury

• reticulocyte counts usually higher at initial phase

below are the common complication of burn injury

• bone marrow failure

• Cushing ulcer

• Curling ulcer

• Kissing ulcer

During assesment of depth of burn injury

• Pain at the area is important factor to determine the depth of burn injury

• degree of skin losses is important to determine the type of burn

• jacksons model of burn suggesting of static area at the middle

• hyperemia zone is usualy presents later

During resuscitation, which type of fluids is commonly used?

• Normal saline

• Hartmann's solution

• Iv albumin 25%

• Fresh frozen plasma

Below are steps of management of burn injury

• assestment -triage-resuscitation-wound care-rehabilitation

• triage-assestment-resuscitation-rehabilitation-woundcare

• woundcare-rehabilitation-triage-resuscitation-assestment

• assestment-woundcare-triage-resuscitation-rehabilitation

Below are the benefit of skin grafting in burn injury

• prevent contracture

• reduce hospital stays

• reduce burden to the nurses

• reduce risk of wound infection