4th Quarter 2011 CE Packet

Burns

Your Name:
Department:
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1) Burns are the __________ leading cause of accidental death in the United States.
A. 2nd
B. 3rd
C. 4th
D. 5th
2) The American Burn Association classifies burns based on:
A. depth and size
B. degree and circumference
C. depth and cause
D. size and cause
3) The initial priorities of burn patient care include:
A. fluid resuscitation
B. pain management
C. A, B, C's
D. immediate transfer to a burn center
4) Signs of inhalation injury include:
A. Singed eyebrows and nasal hairs.
B. hoarse voice
C. facial burns
D. all of the above
5) When a patient presents to us with concerns about airway edema, to protect the airway, we should consider:
A. OPA or NPA
B. oxygen delivered via nasal cannula
C. cricothyroidotomy
D. early intubation before edema prevents it
6) Intravenous lines on a burn patient can be started:
A. only on an unburned extremity
B. only when absolutely necessary
C. anywhere you can
D. only when fluid resuscitation is required
7) Intraosseous lines in a burn patient can be placed:
A. only as a last resort
B. through burned skin if necessary
C. only with approval of the burn center
D. never.
8) According to the "Rule of Nines", a person who has suffered burns to his entire back (torso) has what percentage of TBSA burned?
A. 9%
B. 18%
C. 27%
D. 36%
9) When dealing with a burn patient, we should remove jewelry from a patient to:
A. prevent the jewelry from becoming a tourniquet when the tissue swells
B. protect the jewelry from further damage (e.q. having to cut it off)
C. prevent further injury as jewelry retains heat and can continue to cause injury from heat
D. all of the above.
10) Hypothermia in a burn patient is a significant concern. Hypothermia can be prevented by:
A. using warmed IV fluids
B. turning up the heat in the ambulance
C. covering the patient with warm blankets
D. all of the above.
11) Pain management is an intergral part of patient care. Large amounts of pain medication are usually required to provide pain relief. Medication amounts should:
A. be enough that the patient is sedated to the point of unconsciousness
B. be enough to "take the edge off" but still leave the patient in pain
C. be enough to relieve the pain but allow the patient to remain awake
D. be given only once
12) Pain medications are usually opiate based. Opiates can result in respiratory depression an/or respiratory arrest. For a narcotic overdose in an adult burn patient, our Aurora Health Care protocol indicates we should use:
A. Narcan 0.1 mg
B. Narcan 0.4 mg
C. Narcan 1.0 mg
D. Narcan 2.0 mg