Burns
The top two complications of burns
The primary stimulus for breathing
What is carbon dioxide?
Rapid: patinet is decompensating or declining and their vitals are dropping
Code: cardiac or respiratory arrest, need for lifesaving measures
This pathology is a hypersensitivity to allergens or can be genetic. It has narrowed airways due to secretions + bronchospasms + inflammation.
What is asthma?
This HF is when hypertrophy becomes pathological and CO starts to decline.
HFpreservedEF, Diastolic problem
To calculate TBSA
Rule of 9s
Explain the difference between shunt and dead space
Shunt = perfusion, no ventilation
Dead space = ventilation, no perfusion
Increased pH, decreased PaCO2, and normal HCO3 is known as
What is Respiratory Alkalosis?
What pathology gets the gold medal for most secretions?
This HF shows classic s/s and can be left or right-sided.
What is Deep-Partial thickness burns?
Surfactant is produced during this time period.
What is 24-28 weeks?
Explain why patinets with COPD have lower SPO2 requirements.
They are in a hypercapnic state all the time and do not rely on CO2 as a source to breathe. They rely on oxygen adn when tehy are hypoxemic, the response is to breathe!
What is contralateral?
Classic s/s of PULMONARY congestion.
What is pleural effusion, dry cough, SOB with activity, orthopnea, paroxysmal nocturnal dyspea (PND), and pulmonary HTN?
This pathology is described by airless alveoli and ineleastic lungs resulting in high RR, nasal flaring and cyanosis.
What is respiratory distress syndrome (RDS)?
Calculate: pH 7.56, PCO2 44, HCO3 38
What is metabolic alkalosis?
Tactile fremitus will be _______ and mediate percussion will be ______ in pulmonary edema.
What is INC tactile fremitus, and DULL mediate percussion?
EDV is ______, SV is _____, CO is _____ and EF is _____ in Diastolic HF.
DEC; DEC; DEC; preserved
Calculate TBSA using the Rule of 9s - The patient has burns on their anterior R leg, genitalia, R abdomen and R chest, and entire R arm.
What is 28?
The secondary accessory muscles of forced exhalation and cough.
What are internal intercostals, serratus posterior INFERIOR, pec major CLAVICULAR head, and QL?
PT treatment for atelectasis.
What is mobilization, incentive spirometer (IMTs), ACT, and pt education on HEP and need for deep breaths?
If your patinet comes into the clinic and complains of weight gain of 3+lbs in 2 days, increased cough and swelling and SOB with activity, should you treat them?
They may need an adjustment in their medications and should call their MD before you treat them.