Skin Accesory Lab:
1
A person is burned with full thickness burns circumferentially around both arms
and with superficial burns to his face. What is his estimated burn surface area?
(BSA in %)
9 x 2 (each arm) =18 plus 4.5 face = 22.5 (23%)
2. Mr Jones is working on a car and there is an explosion. You note that he has white
skin over his entire anterior face and his anterior chest. He has blisters over both
hands. What is (note white is full thickness, blisters are partial)
a) His BSA? - 4.5 and 18 is 22.5 (23%)
b) He BSA for partial thickness burns? 2x 1%
3. Look at the picture below: What is the burn surface area of this burn?
18 for abdo
2 in chest
6-7% arm
= 26-27% total
4. Fill out the diagram for the Rule of Nines. Try it first in pencil without reference
to your text or notes. Then redo whatever you miss!
See text (caroline) 9 head, 18 chestm 18 abdo, 9 each arm and 18 each leg. 1%
perineum and hand
5. You have been called to pick up John following a fiery explosion at a chemical plant.
You diagnosed with third degree burns over the anterior surfaces of his arms and trunk.
What specific structural damage has occurred to his skin? What risks to John's life have
resulted from this damage? See Caroline text on burns
Burn to epidermis, dermis and subcutaneous layers, Damage to blood vessels,
nerves, glands, hair, accessory organs of skin. Danger re: thermo regulation,
infection and potentially loss of fluid from fluid shift during phases of burns
6 The order in which the phases of the body’s response to a burn would normally be
expected to occur is:
a) Emergent, fluid shift, hypermetabolic
b) Fluid shift, hypermetabolic, emergent
c) Fluid shift, emergent, hypermetabolic
d) Hypermetabolic, fluid shift, emergent
e) Emeregent,hypermetabolic, fluid shift
7. Which of the following skin types has the greatest resistance to the passage of
electrical current
a) mucous membrances
b) wet skin
c) calluses
d) the skin the inside of the arm
e) the skin on the inside of the thigh
8 An adult has received burns to the entire left lower extremity and the genitals. Using
the rule of nine, what is the percentage of burn surface area involved?
a)
b)
c)
d)
e)
9
10 9 plus 1
14.5
19
21.45
9 Your assessment reveals an area of burn that is reddened, painful and just beginning to
display blisters. What classification of burns would you give this?
a)
b)
c)
d)
e)
superficial
partial thickness
full thickness
first degree burn
A or D