Answer:
The burn may be classified as a <u>Fourth-degree burn with 31 % of TBSA.</u>
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Explanation:
There are 4 types of burn classifications: Superficial burn <u>(first-degree)</u>, Superficial partial thickness burn or Deep partial thickness burn<u> (second-degree),</u> Full thickness burn <u>(third-degree),</u> and Fourth-degree burn.
<h3>Superficial burn or First-degree burn</h3>
- Involved layer is <u>epidermis</u>
- It appears red <u>without blisters</u> with <u>dry</u> texture
- With sensation of <u>pain is present</u>
- Healing time <u>within 5 - 10 days</u> and heals well with <u>no complications</u>.
<h3>Superficial partial thickness burn/Deep partial thickness burn or Second-degree burn</h3>
- It extends to the <u>dermis</u>. (<em>papillary</em> for superficial, <em>reticular</em> for deep)
- <u>Blanches with pressure</u>, <u>with or without blistering</u>, <u>red to yellow, white appearance, moist to dry texture</u>
- It still presents <u>with pain</u>, superficial and deep.
- Healing may take <u>2-3 weeks for superficial, 3-8 weeks for deep</u>. Local infection may occur and scarring may ensue.
<h3>Full thickness burn (Third-degree)</h3>
- Destroys the <u>entire dermis.</u>
- <u>Stiff with white-brown appearance</u>, <u>NO blanching, with leathery texture.</u>
- <u>Painless</u>
- <u>Long time needed for recovery</u>. It may need surgical removal of dead tissue.
<h3>Fourth-degree burn</h3>
- Encompasses the <u>whole layer of skin and underlying fat, exposing the bones and/or muscles.</u>
- <u>Black and charred (eschar), dry texture.</u>
- <u>Painless</u>
- Definitely <u>needs surgical removal of dead tissue</u> to allow recovery.
- It may also cause <u>significant functional disability</u>.
<h3 /><h3>Wallace “Rule of Nines” </h3>
To determine for the burn percentage, we use the <em>Wallace “Rule of Nines” </em>chart. It <u>estimates the percentage of total body surface area (TBSA) that has been destroyed by burns</u>. The diagram attached shows the body divided into multiple sections which represent 9% of the body surface area.
For the example, we have the following given and corresponding percentages:
- Entire surface of the right lower limb - 18% (the whole right leg is affected, front and back, so that's 18%)
- Entire surface of right trunk - 9% (The trunk is 18% in whole, but in this example, only the right trunk is affected, so that's 9%)
- Anterior surface of the right upper limb - 4.5% (Only the front surface of the right arm is affected so it's 4.5%)
% TSBA = 18 + 9 + 4.5
<h3><u>
% TSBA = 31.5 %</u></h3>
Answer:
141.98 ml/day
Explanation:
The data given by the exercise is as follows:
Weight of child = 45 lbs
Dose of medication = 0.02 g / lbs four times a day
Bottle concentration = 125 mg / tbs
The question asks for the total amount of medication the child has to receive in ml per day.
One should know the conversion of tbs to ml (1 tbs = 4.93 ml approx.)
Total medication in grams this child should receive per day:
0.02 g/lbs x 45 lbs x 4 times a day = 3.6g a day = 3600 mg a day (always check which units are the most convenient)
Since 1 tsp of the medication contains 125mg:
3600 mg / 125 mg/tsp = 28.8 tsp a day
Finally, since each tsp contains approx. 4.93 ml:
28.8 tsp x 4.93 ml/tsp = 141.98 ml a day = 141.98 ml/day
Unicellular means single cell organism
The right answer is indeed calculus of bile duct with acute cholangitis with obstruction
It is also called acute cholangitis and obstruction due to bile duct calculus, or common bile duct stone with acute cholangitis).
Biliary lithiasis, or cholelithiasis, is the formation of stones within the gallbladder, the organ that stores the bile secreted by the liver.
Cholangitis results in inflammation of the small bile ducts that tend to shrink, impeding the normal flow of bile.
Answer:
death by starvation
Explanation:
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