Medical Surgical Nursing

(Tina Sui) #1

  • The injury results directly from chemical irritation of the pulmonary tisues at the


alveolar level



  • Inhalation injuries below glottis cause loss of ciliary action, hypersecretion, severe


mucosal edema and bronchospasm



  • The pulmonary surfactant is reduced, resulting in atelectasis (collapse of alveoli)

  • Expectoration of carbon particles in the sputum is the cardinal sign of this injury

  • The pathophysiology effects are due to tissue hypoxia a result of carbon monoxide


combining with hemoglobin to form carboxyhemoglobin which competes with oxygen


for available hemoglobin sites



  • The effinity of hemoglobin for carbon monoxide is 200 times greater than that for


oxygen



  • Treatment usually consists of ealy intubation and mechnical ventilation with 100%
    oxygen

  • Administering 100% O2 is essential to accelerate the removal of carbon monoxide


from the hemoglobin molecule



  • restrictive defects arise when edema develops under full-thickness burns encircling


the neck and thorax



  • Chest expansion may be greatly restricted resulting in decreased tidal volume

  • In such situation escharotomy is necessary

  • More than half of all burn victims with pulmonary involvement do not initially
    demonstrate pulmonary signs and symptoms

  • Any pat with possible inhalation injury must be observed for at least 24 h for


respiratory complications


Pulmonary response



  • Airway obstruction may occur very rapidly in hours

  • Decreased lung compliance, decreased arterial oxygen levels and respiratory acidosis


may occur gradually over the first 5 days after a burn


Indication of possible pulmonary damages include



  • History indicating that the burn occured in an enclosed area

  • Burns of the face and neck

  • Hoarseness , voice change, dry cough, stridor.

  • Bloody sputum

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