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Principles III, Exam I, Burns slides 11-18
Only YOU can prevent forest fires.
13
Nursing
Graduate
01/22/2010

Additional Nursing Flashcards

 


 

Cards

Term
What greatly increases the mortality rate with thermal injuries?
Definition

The presence of

 

respiratory difficulty

Term
name some indicators of upper/lower airway injury on a burn victim
Definition

singed facial hair

facial burns

dysphonia

soot in nose/mouth

difficulty swallowing

cough

Term
What are complications of burn airway injuries that can occur after five days?
Definition
pneumonia and PE
Term
The early days (1-5) of paranchymal lung injury d/t airway burn presents as what?
Definition
ARDS
Term
What are some conditions that occur after burn airway injury?
Definition

1) Copious, thick secretions promote airway obstruction

2) large fluid shifts from aggressive IVF increase airway compromise

3) inhibited cilliary function and surfactant production

4) (airway) tissue sloughing

Term
EARLY INTUBATION is key to burn airway management. What are some signs that a person MUST be intubated?
Definition

stridor

respiratory distress

hypoxemia

hypercarbia

altered level of consciousness

Term
What is generally believed to predispose a pt to an increased risk of pulmonary sepsis, late upper airway problems, and death?
Definition

a surgical airway

(i.e. trach)

Term
Even without signs of airway compromise, who is at greater risk for airway occlusion?
Definition
peds pts!!
Term
What are some diagnostic tools used to trend the progress of airway burn?
Definition

1) bronchoscopy

2) CXR

3) ABGs

4) PFT (this requires a cooperative pt)

 

Term

CO has _______X greater affinity for hemoglobin than O2.

 

Which way does the oxyhemoglobin curve shift? Resulting in ________O2 release at the tissue level.

 

How is CO determined?

Definition

200

 

Left ; less

 

drawing carboxyhemoglobin levels

Term

What is the 1/2 life of CO?

 

Increasing FiO2 to 100%, the 1/2 life of CO is redused to what?

 

Carboxyhemoglobin levels of _____ (at admission) may require hyperbaric oxygen chmabers

Definition

4hrs

 

1hr

 

>30%

Term
What occurs when incomplete combustion of synthetics is inhaled or absorbed through mucus membranes?
Definition
cyanide toxicity
Term
What happens on the cellular level with cyanide toxicity?
Definition

cyanide is rapidly absorbed and:

 

inhibits mitochodrial enzyme (cytochrome oxidase, if you want to know) and blocks the ETC

-this decreases/stops ATP output and cellular pump control

-cell hypoxia/death

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