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Burns
NBCOT Study
| Question | Answer |
|---|---|
| Superficial (First degree) | i. Involves the superficial epidermis. ii. Pain is minimal to moderate; no blistering or erythema. iii. Healing time is 3–7 days. |
| Superficial Partial Thickness (Superficial second degree) | i. Involves the epidermis and upper dermis layers. ii. Pain is significant; wet blistering and erythema are present. iii. Healing time is 1–3 weeks. |
| Deep Partial Thickness (deep second degree burn) | i. Involves the epidermis and the deep dermis layers, hair follicles, and sweat glands. ii. Pain is severe iii. Erythema is present v. impairment of sensation. vi. hypertrophic scar is high. vii. Healing time varies from 3–5 weeks. |
| Full thickness (third degree burn) | i. Involves the epidermis and dermis, hair follicles, sweat glands, and nerve endings. ii. Burn is pain free, no sensation to light touch. iii. Burn is pale and nonblanching. iv. Requires skin graft. v. hypertrophic scar is extremely high. |
| Subdermal burn | i. Full-thickness burn with damage to underlying tissue such as fat, muscles, bone. ii. Charring present iv. Peripheral nerve damage is significant. v. Requires for wound closure or amputation. vi. hypertrophic scar is extremely high. |
| Whats a thermal burn? | heat, cold, scald, flame |
| What is radiation | sunburn, x ray, radiation therpay |
| Electrical burn | high voltage vs low voltage |
| low voltage | AC alternating current more dangerous than direct current. causes greater muscle contraction |
| high voltage | causes a single muscle contraction and throw its victim from the source |
| Emergent phase | 0-72 hours after injury: sustain life (hydration), control infection, manage pain |
| acute phase | 72 hours after or until wound is closed. infection control and grafts. |
| Rehab phase | Medical treatment continues with skin grafts and reconstruction surgery as needed for movement and function. |
| OT during emergent phase | Occupational therapy intervention: splinting in antideformity positions |
| OT during acute phase | splinting and positioning in antideformity positions, edema management, early par- ticipation in ADLs, and client and caregiver education, anti contracture positioning |
Created by:
kjayala
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