smoke burn 2

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Author:
Anonymous
ID:
51052
Filename:
smoke burn 2
Updated:
2010-11-22 00:32:02
Tags:
smoke burn
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Description:
smoke burn
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  1. which degree

    damage is limited to the epidermis
    1
  2. which degree

    damage extends through the epidermis and dermis
    2
  3. which degree

    destroys the epidermis and dermis w/ damage extending into the underlying tissues (subcutaneous tissue, hair follicles, sweat glands, and nerves involved)
    3
  4. which degree

    no pain
    3
  5. which degree

    erythema (redness of the skin)
    tenderness and pain
    1/2
  6. which degree

    skin may be white, brown, or black' may appear leathery
    3
  7. 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
  8. fluid resuscitation is according to what type of formula
    parkland formula
  9. ____ 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
  10. 1/2 of the fluid vol is given over the first
    8 hrs
  11. second 1/2 is given over the next
    16 hrs
  12. maintain urine output of ___-_____ ml per hr
    30-60
  13. 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
  14. how many percent of deaths from smoke inhalation are the result ofcyanide in smoke
    20-25%
  15. blood HCN levels greater than ____ mg/litter are lethal
    1.0
  16. HCN treatment
    • amyl nitrite inhalation
    • iv sodium thiosulfate
  17. what type of poisoning binds w/ hemoflobin more than 200 times more readily than oxygen
    CO carbon monoxide
  18. COHb of greater than how many %
    20-30%
  19. non smokers normally have COHb of
    less than 3%
  20. smokers may normally have a COHb of about
    10%
  21. COHb of ____% may be lethal
    50-60%

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