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Burn Management Flashcards

7 cards from real TNCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Burn Management flashcards as text

  1. A burn patient arrives with singed nasal hairs, hoarseness, and carbonaceous sputum. What is the priority intervention?

    Answer: Prepare for immediate endotracheal intubation

    Signs of inhalation injury with impending airway compromise require immediate intubation before progressive edema makes the airway inaccessible.

  2. Using the Parkland formula, how much lactated Ringer's should be given in the first 8 hours to a 70 kg patient with 40% TBSA burns?

    Answer: 5,600 mL

    Parkland formula: 4 mL × kg × %TBSA = 4 × 70 × 40 = 11,200 mL total, with half (5,600 mL) given in the first 8 hours.

  3. Which burn depth classification is characterized by blisters, moist wound surface, extreme pain, and blanching with pressure?

    Answer: Superficial partial-thickness (second-degree)

    Superficial partial-thickness burns involve the epidermis and superficial dermis, causing blisters, moisture, intense pain, and preserved capillary refill.

  4. A patient with circumferential full-thickness burns to the right arm has absent radial pulse and paresthesias. The priority intervention is:

    Answer: Emergent escharotomy

    Circumferential eschar causes compartment syndrome; escharotomy releases constricting eschar to restore perfusion before nerve and muscle damage occur.

  5. Carbon monoxide poisoning should be suspected in a burn patient found in an enclosed space. Which finding is most consistent with CO poisoning?

    Answer: Normal SpO2 with altered mental status

    Pulse oximetry cannot distinguish carboxyhemoglobin from oxyhemoglobin, so SpO2 may appear normal despite significant CO poisoning causing AMS.

  6. When calculating TBSA in an adult using the Rule of Nines, which value is assigned to the entire head and neck?

    Answer: 9%

    In adults, the head and neck together account for 9% of TBSA using the Rule of Nines.

  7. Which type of burn is most likely to cause deep tissue injury with minimal external skin findings and poses risk of myoglobinuria?

    Answer: Electrical burn

    Electrical burns cause current to travel through deep tissues, destroying muscle and releasing myoglobin with little surface evidence of injury.