Exam 25: Burns, Adverse Effects, and Poisonings

MATCHING Match the following degrees of burns. -Blisters have formed,and there is epidermal loss

MATCHING Match the following degrees of burns. -Deep necrosis of underlying tissues

Match the following Z codes. -Allergy other than to medicinal agents-peanuts

Debridements must always be done in the OR.

During hospital stay,in the patient's room,the nurse accidentally administered insulin,and this caused hypoglycemia;patient is not a diabetic,and no insulin was ordered: __________

A 2-year-old child was admitted with an accidental electrical burn to the upper lip.The child was at home (single family)and had bitten on an electrical cord.The mother immediately sought medical attention.The burn was a full-thickness burn.Local wound care was performed.The patient was not having any breathing problems.Further intervention will depend on how the burn heals. Final Diagnosis: Full-thickness burn to upper lip due to electrical current.

MATCHING Match the following degrees of burns. -Full-thickness skin loss

Sunburned chest: __________

Debridement is one of the most common procedures performed on burn victims.

Patient is being treated with hyperbaric oxygen therapy (HBOT)for decompression sickness when surfacing while scuba diving in the ocean.

In a toxic poisoning the toxic poisoning code (T36-T50)should be sequenced first,followed by the external cause code(s).

When the patient is admitted for burn injuries and other related conditions such as smoke inhalation,the circumstances of admission govern the selection of the principal or first-listed diagnosis.

First- and second-degree burn of face due to gas flame from stove in kitchen at patient's house while cooking: __________

A patient has SIRS due to an accidental burn from the flames from a single-family house fire.The patient has full-thickness skin loss burns of the legs (11%)with second-degree burns of the trunk (4%).

The patient reported to the ER with nausea/vomiting and weakness.The patient is on OxyContin for chronic pain due to unresectable pancreatic cancer.The patient was in extreme pain and decided to double the OxyContin dosage.When this did not relieve the pain,the patient decided to drink a couple of shots of whiskey.The patient got very weak and called 911.The patient was volume depleted and was treated with IVs;his pain medications were adjusted. Final Diagnosis: Accidental overdose of OxyContin. Pain due to pancreatic cancer.

A patient combined prescription Percodan with beer and became stuporous and drowsy.

A patient is admitted to the hospital after being found by family members in her bedroom at her house (single family).They were unable to awaken her.A note and an empty bottle of antifreeze (ethylene glycol)were found by her bed.Patient is intubated and admitted to ICU for mechanical ventilation and treatment.The patient's condition deteriorated with multisystem failure,and she expired on day 2.Ventilator time was greater than 24 hours. Discharge Diagnoses: Suicide by antifreeze Multisystem organ failure,including acute respiratory,acute liver,and acute kidney failure

Hives due to penicillin taken for strep throat.Patient took the medication as prescribed: __________

External cause code(s)are never used to identify the cause and intent of the injury or poisoning.

Battered spouse syndrome: Confirmed abuse by her husband: __________