Science Quiz / Kahn - Wound & Burn Management

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Can you name the Kahn - Wound & Burn Management ?

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____ is essential for wound healing, but supplementation is of unproven benefit if it is not deficient
Burn that is painful to air and heat. Heals in 7-20 days, possible pigment change.
Chemoprophylaxis: Use ______ ointment for face
____ sores: signficant problem in elderly and critically ill patients resulting in chronic pain and a clearly decreased quality of life.
_____ Ulcers: Develop when the pressure against the area of the body involved is greater than the capillary closing pressure of 32mmHg for more than two hours, causing skin death.
Multiplication without host response.
In addition to effecting collagen synthesis, steroids inhibit epithelialization, and contribute to increased rates of _____
Those with suspected inhalation injury should be admitted for observation for _____ hours – they can go downhill fast
Cleaning: Do not directly debride ______. Emulsify it over several days with bacitracin, or water and mineral oil
Inhalation injury: Monitor _______ level with arterial blood gas assessment
Presence of host response in reaction to deposition and multiplication of bacteria.
A single bed-bound patient must be re-positioned over _____ times a year.
Burn caused by UV light (sunburn), very brief flash exposure.
_____ ulcerations – often associated with trauma, so are usually located at the ends or tops of toes, on the heel, the ball of the foot, or over malleoli. Also quite painful.
The presence of bacteria without multiplication.
_______ must not be used in wounds of the fingers, toes, ears, nose, or penis due to the risk of tissue necrosis secondary to arteriole vasospasm!!
_____ admission or burn center referral if: high voltage injury, suspected inhalation injury, circumferential burn, or high-risk patient (e.g. diabetic)
Burn caused by scald from flame, oil, or grease. Fragile blisters, wet or waxy dry, variable color, and does not blanch.
Chemoprophylaxis: For outpatient, use ______ on open areas as a prophylactic …(but must not use on the face, if pregnant, or if states sulfa allergic)
Steroids inhibit the inflammatory phase of wound healing and the effect is directly proportional to the _____ of the steroid.
DO give antibiotics for feces in wound, ALL ______ bites, mammalian bites on hands, full thickness oral lacs, and puncture wounds in foot with entry through tennis shoe or thong
Cooling: Cool for several hours to decrease pain and further injury. Use sterile saline-soaked gauze, not _____. Avoid hypothermia.
Hypertrophic scars (HTS) and keloids represent an overabundance of _____ in the healing process
_____ ulcerations - most common cause of lower extremity ulcers, develop secondary to venous insufficiency. Located below knee. Painful.
Infections occur in ____% of traumatic wound repairs.
x X
_____ Boot - which is gauze impregnated with zinc paste, calamine lotion and glycerin - is commonly applied for the treatment of venous stasis ulcers.
Increased rates of wound _____ in Diabetes Mellitus. The small vessel disease in DM results in tissue hypoxemia.
Superficial _____ increase the risk of venous insufficiency, leading to edema and changes in the soft tissues and skin
Irrigating the wound is best accomplished with _______ without additives.
Burn caused by scald (water) or flash exposure. Blisters, moist, red, weeping, blanches with pressure.
_____% mortality if 0 risk factors present
____% mortality if 3 risk factors present
_____ formation is 15x more common in darkly-pigmented people, while hypertrophic scarring (HTS) is more common in in lightly- pigmented people.
Keloid scars rise above the skin, but ____ beyond the border of the original wound. Occurs 3 months after the initial insult.
Burn that appears waxy white or leathery gray or charred black; dry and inelastic, does not blanch.
Burn that has no healing if >2% TBSA; Very severe risk of contracture,
Vitamins A and ___ are the ones most closely associated with wound healing
Burn that is perceptive of deep pressure only.
Follow up: see patient in _____ hours, then again in 48-72 hours.
Topical application of Vitamin ____ will stimulate collagen synthesis and epithelialization in people on steroids
Dry, red burn that blanches with pressure. Painful. Heals in 3-6 days with no scarring
For laceration treatment, irrigate with 60ml of sterile saline per _____ of wound
Less than 10% TBSA in adult, Less than 5% TBSA in child or elderly, or less than 2% of full thickness burn can be treated ________
The Rule of Nines – estimates total body surface area (TBSA) that has been burned, and includes all areas that are _______, or worse
Age greater than 60, more than 40% TBSA burned, and inhalation injury are 3 major ____ factors in adults.
Name one of the 6 C's of Ambulatory Burn Management
Name a bacteria most commonly responsible for wound infections.
Burn caused by immersion scald from flame, grease, steam, chemical, electricity.
Burn that is perceptive of pressure only. Heals in over 21 days. Hypertrophic scarring and severe risk of contracture.
Clothing: Remove all burned, chemically exposed clothing. Leave _____ areas in place.

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