Home
Flashcards
Preview
smoke burn 1
Home
Get App
Take Quiz
Create
combustion of carbon-based products in smoke or as a by-product w/out smoke is caused by
CO carbon monoxide
combustion of polyurethane-rich materials (nylon, various types of upholsteries) in smoke is caused by
HCN hydrogen cyanide poisoning
4 factors to consider in burn injury
size and depth or degree of the skin burn
heat and chemical composition of gases inhaled
extent and duration of exposure
age and preexisting health status of the pt
pathophysio of burns
early stage
first 24 hours post burn/inhalation
pathophysio of burns
intermediate stage
2-7 days pot burn/inhalation
pathophysio of burns
late stage
>7 days post burn/inhalation
early stage
thermal injury usually confined to 5 upper airways
face
oral
nasal cavaties
pharynx
trachea
early stage
thermal injury to the lower resp tract is spared and protected by (2)
cooling of hot gases by upper airway
reflexive laryngospasm and glottic closure
early stage
chemical injury can affect
lower respiratory tract
-inhalation of toxic gases/soot particles
early stage
large skin burns and smoke inhalation injury may cause: 6
inc pulm and bronchial blood flow
inc pulm vascular pressures
inc pulm and systemic cap permeability
pulm and systemic edema
cardiac failure
surfactant dysfunction
early stage
____ lung compliance
_____ airway resistance
early stage
2 types of v/q mismatch
hypoxemia
resp alkalosis usually
4 types of cardiovascular changes
dec cardiac output
bp normal to low
tachycardia
hemolysis and dic (dissmenated intravascular coagulation) can occur
if oxygen supply is reduced resulting in lactic acidosis and damaging non burned tissues, what may follow
anaerobic metabolism
intermediate stage
resp distrass may increase and evolve into resp failure due to
ince carbon dioxide production
oxygen consumption from hypermetabolism
intermediate stage
fluid resuscitation may induce
pulm edema
mucus plugs -> airway obstruction=
atelectasis
can ards and respiratory or cardiac arrest occur during intermediate stage
yes
if inhalation injury, upper airway edema begins to resolve btwn days
2 and 4
hypermetabolic state cont during which stage?
intermediate stage
when burns to the chest are present, pt is unable to reathe deeply due to: (5)
pain
narcotics
immobility
inc airway resistance
dec lung and chest wall compliance
late stage
hypermetabolic rate cont may persist to how many weeks?
1-3
potential for pneumonia is high in which stage?
late stage
infection is most common problem in which stage
late stage
Author
Anonymous
ID
51047
Card Set
smoke burn 1
Description
1 smoke burn
Updated
2010-11-22T05:12:42Z
Show Answers
Home
Flashcards
Preview