Sam Shared "unit4" - 130 Picmonics
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unit4
Burns Assessment
- Stage and Extent of Burn
- Dyspnea
- Singed Nasal Hairs
- Pain
- Initial Decrease Urinary Output
- Paralytic Ileus
- Signs of Inadequate Hydration
- Shock
- Hypothermia
- Hyperkalemia
2 mins
Burns Considerations
- Maintain Body Temperature
- Increased Risk of Infection
- Venous Thromboembolism (VTE) Prophylaxis
- Curling's Ulcer
- Excision and Grafting
- Adequate Nutrition
- Contractures
2 mins
Burns Interventions
- Ensure Airway Patency
- O2
- IV Fluid Replacement
- Dry Sterile Dressing
- Debridement
- Elevate Burned Limbs
- Analgesics
- Silver Sulfadiazine
- Escharotomy
2 mins
Rule of 9's for Burns
- Total Body Surface Area (TBSA)
- Head
- Anterior Torso (18%)
- Chest
- Abdomen
- Posterior Torso (18%)
- Upper Back
- Lower Back
- Extremities
- Posterior Leg (each)
- Anterior Leg (each)
- Each Arm
- Genitalia 1%
2 mins
Stages of Burn Care
- Phase / Stage 1
- Resuscitative/Emergent Phase
- Injury to Return of Capillary Permeability
- 48-72 hours
- IV Fluid Replacement
- Phase / Stage 2
- Acute Phase
- Diuresis to Near Wound Closure
- Phase / Stage 3
- Wound Closure to Return of Optimal Level
2 mins
Types of Burns
- Superficial Thickness
- Sunburn
- Superficial Partial Thickness
- Blisters
- Blanching
- Deep Partial Thickness
- Little or Non-blanching
- Full Thickness
- Waxy White, Yellow or Black
- Decreased Pain
2 mins
Silver Sulfadiazine (Silvadene) and Mafenide Acetate (Sulfamylon)
- Mechanism
- Topical Antimicrobial
- Indications
- Burns
- Open Wound Care
- Side Effects
- Mafenide
- Pain
- Acidosis
- Considerations
- Administer Analgesic Prior to Wound Care
1 min
Parkland Formula
- Burn victims
- 24 hours
- TBSA% x Weight x 4 = Fluids
- TBSA %
- x Weight (kg)
- x 4
- = Fluid Requirement (in first 24 hrs)
- Fluids in first 8 hours
- 1/2 of fluid given in first 8 hours
1 min
CSF Lab Values: Normal
- Pressure: < 20 cm H2O
- Color/Appearance: Clear or Colorless
- Proteins: < 40 mg/dL
- Lactate Dehydrogenase: 10% of Serum Level
- Cells: 0-5 Small Lymphocytes
- Glucose: 40-70 mg/dL
2 mins
Lumbar Puncture
- Indications
- CSF Sample
- CSF Pressure
- Considerations
- Empty Bladder
- Side-lying Position
- Between 3rd and 4th Lumbar Vertebrae
- Number Tubes
- Supine Position After Procedure
- Contraindications
- Increased ICP (Intracranial Pressure)
- Infection at Puncture Site
2 mins
Magnetic Resonance Imaging (MRI)
- Procedure
- Internal Body Images
- Detects Variations of Soft Tissues
- Considerations
- No Metal Objects
- No Pacemakers
- Contrast is Non-Iodine
- Safe During Pregnancy
- Long Procedure
- Antianxiety Medications
2 mins
Autonomic Nervous System
- Characteristics
- Sympathetic Nervous System
- Fight or Flight
- All Preganglionic Neurons Release Acetylcholine
- Sympathetic Postganglionic Neurons Release Norepinephrine
- Antagonistic Effects of Sympathetic and Parasympathetic Nervous Systems
- Parasympathetic Nervous System
- Rest and Digest
- Parasympathetic Postganglionic Neurons Release Acetylcholine
2 mins
Central Nervous System (CNS)
- Characteristics
- Frontal Lobe
- Parietal Lobe
- Temporal Lobe
- Occipital Lobe
- Medulla Oblongata
- Cerebellum
- Pons
- Spinal Cord
- Dorsal Root Ganglia
- Grey Matter
- White Matter
2 mins
Cranial Bones
- Occipital
- Parietal
- Frontal
- Temporal
- Ethmoid
- Sphenoid
52 secs
Facial Bones
- Vomer
- Conchae
- Nasal
- Maxilla
- Mandible
- Palatine
- Zygomatic
- Lacrimal
1 min
Dermatomes - Cervical
- C2 - Posterior Cap Distribution
- C3 - High Turtleneck
- C4 - Low Collar Shirt
- C5 - Anterolateral Shoulder
- C6 - Thumb
- C7 - Middle Finger
- C8 - Pinky Finger
1 min
Dermatomes - Lumbosacral
- L2 - Medial Thigh
- L3 - Medial Knee
- L4 - Kneecap, Medial Ankle, and Big Toe
- L5 - Dorsum of Foot
- S1 - Lateral Foot, Posteriolateral Thigh
- S 2, 3, 4, 5 - Perianal and Genitals
2 mins
Dermatomes - Thoracic
- Characteristics
- T1 - Medial Arm
- T4 - Nipple
- T7 - Xiphoid
- T10 - Belly Button
- T12 - Pubis
58 secs
Posterior Column (Dorsal Column)
- Ascending Pathway (Sensory)
- Sensations
- Proprioception
- Fine Touch
- Pressure
- Vibration Sensation
- Anatomy
- Dorsal Root
- Fasciculus Cuneatus
- Arms
- Fasciculus Gracilis
- Lower Limbs
- Lesions
- Vitamin B12 Deficiency
- Tabes Dorsalis
2 mins
Spinothalamic Tracts
- Ascending Pathway (Sensory)
- Lateral
- Temperature
- Pain
- Anterior
- Crude Touch
- Pressure
- Decussates at Anterior White Commisure
- Lesion
- Contralateral Anesthesia
2 mins
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