destroys the epidermis and dermis w/ damage extending into the underlying tissues (subcutaneous tissue, hair follicles, sweat glands, and nerves involved)
3
which degree
no pain
3
which degree
erythema (redness of the skin)
tenderness and pain
1/2
which degree
skin may be white, brown, or black' may appear leathery
3
treatment of resp thermal injuries
o2 therapy
beta adrenergics for mild inhaltion injuries
heyperinflation
intubation
mech vent
airway maintenance
fluid balance
urine outputnutritional support
protective isolation
pain control
antibiotics
hyberbaric oxygen
fluid resuscitation is according to what type of formula
parkland formula
____ ml of lactated ringers per kg per % of total body surface area burn over a 24 hr period is what type of formula
4ml
parkland formula
1/2 of the fluid vol is given over the first
8 hrs
second 1/2 is given over the next
16 hrs
maintain urine output of ___-_____ ml per hr
30-60
hydrogen cyanide (hcn) binds w/ cytochrome osidase enzymes in the
mitochondria
inhibits metabolism oxygen
causes the tissue cells to shift to an inefficient anaerobic form of metabolism
which leads to lactic acidosis
how many percent of deaths from smoke inhalation are the result ofcyanide in smoke
20-25%
blood HCN levels greater than ____ mg/litter are lethal
1.0
HCN treatment
amyl nitrite inhalation
iv sodium thiosulfate
what type of poisoning binds w/ hemoflobin more than 200 times more readily than oxygen