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Author Question: Your patient is brought in by EMS after being pulled from a house fire. She is complaining of ... (Read 86 times)

luminitza

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on: Jul 16, 2018
Your patient is brought in by EMS after being pulled from a house fire. She is complaining of difficulty breathing, has burnt nasal hairs, soot in the oral pharynx, and stridor.
 
  The physician asks for a treatment suggestion regarding her respiratory needs. What would you suggest?
  a. Racemic epinephrine
  b. Hyperbaric oxygen therapy
  c. Nonrebreathing mask at 15 L/min
  d. Intubations and mechanical ventilation

Question 2

Respiratory assessment of the burn patient should focus on which of the following?
 
  1. Predicted body weight for tidal volume setting during mechanical ventilation
  2. Extension and depth of external burns
  3. Degree of involvement of lung tissue
  4. Inhalation of toxic cases
  a. 2, 3, and 4 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 1, 3, and 4 only


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alvinum

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: D
Inhalation injury can complicate 20 of burn patients; these patients often present with facial burns. Patient presenting with facial burns, burnt nasal hairs, soot in the oral and nasal pharynx, and any signs of upper airway burns should be immediately intubated since the probability of se-rious airway obstruction developing over time is nearly 100.

Answer to Question 2

ANS: A
Respiratory assessment of burn patients should focus on:
1. Extension (total-body surface area, TBSA) and depth of external burns.
2. Degree of involvement of lung tissue.
3. Inhalation of toxic gases (carbon monoxide and cyanide).


luminitza

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Reply #2 on: Jul 16, 2018
Correct answers!


alvinum

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Reply #3 on: Jul 16, 2018
Great! Please up vote :D


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