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:
|How is drowning defined?||suffocation and death as a result of submersion in liquid.|
|What is near drowning?|
|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 ||the bronchi |
|What is the pathophysiologic responsible for?||noncardiogenic |
|What are the pathologic and structural changes in drowning?||Laryngospasm and bronchial constrictionInterstitial edema|
|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|
|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 ||Does not indicate |
|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.|
|Anatomic alterations of the lung in Near drowning||laryngospasm/bronchoconstriction, interstitial edema, decreased pulmonary surfactant, increased alveolar surface tension, atelectasis, frothy white secretions|
|Interstitial edema in near drowning includes||engorgement of the perivascular and peribronchial spaces, alveolar walls, and interstitial spaces|
|Decreased surfactant causes _____ venous admixture||increased|
|When does ARDS usually show up?||24-48 |
|What is dry drowning?||victim passed out before inhaling any water so fluid |
|How many people drown each year in the U.S?||6000-8000|
|Children under 5 account for ___% of drowning deaths/year in the US||40|
|__% of drowning deaths occur in persons between 5 and 20 yrs old||20|
|About how many victims of near drowning are hospitalized annually?||8000|
|Describe the drowning or near drowning sequence||1-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 victim||increased 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 Hypoxemia||Combined acidosis: pH-decreased, PaCO2-increased, PaO2-decreased, HCO3- decreased(lactic acid)|
|Chest xray findings on near drowning victim||Fluffy infiltrates, pneumothorax and pneumomediastinum|
|General Management of Near wet drowning||first responder, during transport, and at the hospital|
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.