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burns caused this deteoriation
Burns that do not exceed 25% TBSA produce a •
primarily local response Pulmonary, upper airway injury results from
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direct heat or edema,
Burns that exceed 25% TBSA may produce both
manifested
a local and systemic
by mechanical obstruction of the upper airway
response and are considered major burn injuries •
Cardiovascular Response Carbon monoxide, the pathophysiologic effects
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due to tissue hypoxia, a result of carbon
Hypovolemia is tha immediate consequence of
monoxide combining with hemoglobin to form
fluid loss resulting in
carboxyhemoglobin, which competes with
oxygene for available hemoglobin binding sites
decreased perfusion and oxygen delivery Other Systemic Response
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from massive cell destruction. Hypokelamia Asses for cervical spinal injuries
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(potassium depletion) may occur Asses for burn and wound
later with fluid shifts from the interstitial to the •
vascular space Insert IVP and NGT, and suction the pt. to
Pulmonary Response prevent vomiting
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Inhalation, bronchoconstriction caused by Practice aseptic technique to prevent infection
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release of histamine, serotonin Asses for TBSA
and thrombaxane a powerfull vasoconstrictor, as •