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Looking for a study guide on the Respiratory management of trauma, obesity, near drowning, and burns? If so then you’ve definitely come to the right place! This information listed for you below correlates well with Egan’s Chapter 30 in Respiratory Therapy school, so you can use it to help ace your exams. 

Near drowning is when someone almost dies from not being able to breathe while being immersed under water. When someone is rescued from a near-drowning situation, it is crucial that first aid and medical attention be implemented immediately.

That, along with obesity, burns, and trauma patients are definitely topics you must know. The good news is, this study guide can help. Are you ready to get started? If so, let’s go ahead and dive right in. 

One more thing before we begin. If your Respiratory Therapy program is like mine, then you probably use the Egan’s Workbook as well. Don’t get me wrong, it’s a solid workbook that can be helpful at times. The problem is, it takes way too long to look up all the answers, so it tends to be more busywork than anything else.

To help with that, we looked up all the answers for you so that you don’t have to waste any more of your valuable time. So if you do need the Egan’s Workbook Answers, you can check out our Workbook Helper. 🙂

Respiratory Management of Trauma, Obesity, Near Drowning, and Burns Practice Questions:

QuestionAnswer
How is drowning defined?suffocation and death as a result of submersion in liquid.
What is near drowning?situtation in which a victim survives a liquid submersion, at leat temporarily.
What is dry drowning?glottis spasms and prevents water from passing into the lungs.
What is wet drowning?glottis relaxes and allows water to flood the tracheobronchial tree and alveoli.
What is the response to a parasympathetic-mediated reflex.the bronchi constric.
What is the pathophysiologic responsible for?noncardiogenic pulmanary edema
What are the pathologic and structural changes in drowning?Laryngospasm and bronchial constrictionInterstitial edema,engorged perivascular and peribronchial spaces, alveolar walls, and interstitial spacesDec surfactantInc ST of alveolar fluidalveolar shrinkage and atelectasisfrothy white secretions
What are the clinical manifestations from drowning?Atelectasis, alveolar consolidation, increased alveolar-capillary membrane thickness and bronchospasm
What are the clinical data obtained with drowning?increased RR, stimulation of peripheral chemoreceptors, decreased lung compliance,increased ventilatory rate relationship, stimulation of J receptors and anxiety, increased HR BP and cardiac output
What will the chest assessment be for drowning?crackles and rhonchi
What will the blood gas be for drowning?Acute Ventilatory Failure with hypoxemia
What are the radiologic findings in drowning?Fluffy infiltrates and pneumothorax and pneumomediastinum
What is the patients prognosis if they have been submerged in cold water for less than 60 minutes?Does not indicate poor prognosis.
What is the primary goal during transport of a drowned patient?high-quality CPR with 100% oxygen.
What do most drowned patients suffer from?hypoxemia, hypercapnia, and acidosis.

 

 

QuestionAnswer
Anatomic alterations of the lung in Near drowninglaryngospasm/bronchoconstriction, interstitial edema, decreased pulmonary surfactant, increased alveolar surface tension, atelectasis, frothy white secretions
Interstitial edema in near drowning includesengorgement of the perivascular and peribronchial spaces, alveolar walls, and interstitial spaces
Decreased surfactant causes _____ venous admixtureincreased
When does ARDS usually show up?24-48 huors after pulmonary insult
What is dry drowning?victim passed out before inhaling any water so fluid doesnt get into distal airways
How many people drown each year in the U.S?6000-8000
Children under 5 account for ___% of drowning deaths/year in the US40
__% of drowning deaths occur in persons between 5 and 20 yrs old20
About how many victims of near drowning are hospitalized annually?8000
Describe the drowning or near drowning sequence1-panic/violent struggle to return to surface, 2-period of calmness and apnea, 3-Swallowing fluid and vomiting, 4- gasping inspirations and aspiration, 5-convulsing, 6-coma, 7- death
What is the mammalian dive reflex?optimizes respiration to allow staying underwater for extended periods of time, more apparent in young children
Clinical data obtained at bedside on near drowning victimincreased RR, HR, CO, BP; cyanosis; cough/ frothy pink sputum, stable bubbles; crackles and rhonchi
Frothy, white=no capillary leakage
Frothy, pink=pulmonary edema/ RBC’s
Near drowning victim ABG/Acute ventilatory failure with HypoxemiaCombined acidosis: pH-decreased, PaCO2-increased, PaO2-decreased, HCO3- decreased(lactic acid)
Chest xray findings on near drowning victimFluffy infiltrates, pneumothorax and pneumomediastinum
General Management of Near wet drowningfirst responder, during transport, and at the hospital

Final Thoughts

So there you have it! That wraps up our study guide on the Respiratory Management of Trauma, Obesity, Near Drowning, and Burns patients. These practice questions will help you learn everything you need to know from Egan’s Chapter 30 in order to ace your exams. Just be sure to go through this information again and again until it sticks. Thank you for reading and as always, breathe easy my friend.

🔒 And don’t forget, if you need help with your Egan’s Workbook, we looked up the answers for you so that you don’t have to. Check out our Workbook Helper to learn more.