Burn/Inhalation Injury, Myas, Guillian

Question 1

In burn patients ___ influence cardiac contraction and relaxation after ___ hours.

Answer 1

Inflammatory mediators

24-48 hrs

Question 2

True or false: Burn patients should be intubated early.

Answer 2

True.

Question 3

Inhaling 100% oxygen is good for cyanide inhalation patients. Also, ___ is a good treatment for cyanide poisoning.

Answer 3

Amyl nitrate pearls.

Question 4

In cyanide inhalation poisoning, you’re likely to see severe metabolic ___.

Answer 4

Acidosis

Question 5

Upper airway edema patients should get these three treatments.

Answer 5

Cool aerosol
Oxygen
Racemic Epinepherine

Question 6

Patients with severe inhalation injury may benefit from ___ for pulmonary clearance.

Answer 6

IPV

Question 7

Burn patients can be dehydrated from ___ water loss.

Answer 7

Insensible.

Pt’s lose water from sweat and through burns

Question 8

Blood pressure cuff may not be accurate in burn patients due to ___.
ART line blood pressure may also be inaccurate due to ___.

Answer 8

Edema

Vasoconstriction from catecholamine release

Question 9

What’s the most common opportunistic infections common to HIV/AIDS patients and how do you treat it?
What are three other opportunistic infections common to HIV/AIDS patients?

Answer 9

Pneumosystis Carinii/jeroveci.
(Treat with Pentamadine WITH RESPIRGARD)
Toxoplasmosis
Candidiasis
Mycobacteriosis

Question 10

What neuromuscular disorder starts at the head and goes down to the feet?

Answer 10

Myasthenia Gravis (Mind to Ground)

Question 11

What is ptosis?

Answer 11

Drooping eyelids

Question 12

Myasthenia gravis patients often have ___ that improves with rest.

Answer 12

Generalized weakness

Question 13

In myasthenia gravis patients, be sure to monitor these four things closely!

Answer 13

Tidal volume
Vital capacity
Maximal inspiratory pressure
ABG’s

Question 14

Describe myasthenic crisis.

Answer 14

Give tensilon (edraphonium).
If Tidal volume, vital capacity, and MIP improve, give anticholinesterase therapy (Neostigmine)
And cholinesterase inhibitors Pyridostigmine (Mestinon)

Question 15

Describe a cholinergic crisis.

Answer 15

Give tensilon (edraphonium).
If Tidal volume, vital capacity and MIP get worse, give atropine to reverse tensilon.
Monitor and intubate when indicated.
Consider steroids and adrenocorticotropic hormone.

Question 16

Guillain-Barre syndrome moves from ___ to ___.

Answer 16

Ground to brain

Question 17

Onset of Guillain-Barre syndrome often occurs after ___.

It presents as acute weakness in the ___.

Answer 17

A viral infection.

Legs.

Question 18

In Guillain-Barre syndrome patients, treatment includes ___.

Answer 18

Monitoring in ICU (not the floor)
Intubate and ventilate
Supportive care until symptoms resolve (could be days or weeks)

Question 19

What’s a good treatment for severe Guillain-Barre syndrome?

Answer 19

Plasmapheresis

Question 20

A lumbar puncture in Guillain-Barre syndrome will reveal ___.

Answer 20

High protein levels in CSF

Question 21

Four good routine treatments for Guillain-Barre syndrome include:

Answer 21

Anti-coagulant therapy
Physical therapy
Corticosteroids
Immunoglobulin infusion will prevent system from attacking nerves.

Question 22

In burn/smoke inhalation patients, if carboxyhemoglboin is greater than ___, they should get ___ and ___.

Answer 22

20%

O2 and hyperbaric therapy