Airway, edema may lead to loss of airway and difficulty intubating
How many hours post injury does it take before pulmonary edema occurs after an injury
below the glottis?
Why?
12-24 hours because of fluid shifts from lung injury and increased capillary permeability
What is an injury below the glottis presents as
(ARDS) Acute Respiratory Distress Syndrome
Signs and symptoms of injury below the glottis
crackles, dyspnea, hypoxia
Why is extent of injury hard to determine in electrical burns
most of the tissue damage is beneath the skin (iceberg effect)
, What are patients with electrical burns at risk for
Dysrhythmias due to voltage on heart, compartment syndrome
Myoglobinuria
voltage damages muscle which releases myoglobin which can block renal tubules in
kidneys
Treatment of myoglbinuria
increase urine output 75-100 every hour to prevent renal failure
What needs to be done when moving an electrical burn patient
cervical spine immobilization
3 concerns following electrical burn
myoglobinuria, dysrhythmias, metabolic acidosis
Why can electrical burns cause metabolic acidosis
muscle break down increases lactic acid which can accumulate in the body
Factors indicating severity of burn
depth, extent of total body surface area (TBSA), location, client risk factors
burnt sweat glands
patient will be more susceptible to heat stroke and overheating
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