Inhalation Injury Research Paper

Burn patients needs are to make sure that they are intaking an increase amount of fluids and calories. Burns increase the patients energy requirements due to the fact that it increases their resting energy expenditure. With an increase in resting energy expenditure burn patients often lose weight due to lack of calorie intake. Burn patients should not lose more than 10% of their usual body weight. Of the calories that the burn patients are intaking it is important to make sure that they are increasing their carbohydrate, lipid and protein needs. Carbohydrates are important since the glucose is the main source for macrophages, fibroblasts, etc in the burned area as well as an increase in plasma clearance of glucose. Proteins are important since

Inhalation injury results from the inhaling of smoke during a fire. Inhalation injury is associated with an increase in morbidity and mortality. Burn patients with inhalation injury have an increase need for fluids and an increase in pulmonary complications. Those with inhalation injury have a slower recovery process since it is a more complex clinical problem. The complications from inhalation injury results mostly from the inflammatory response. Improvements of inhalation injury is a result of improvements in the critical care rather than focusing on the intervention for smoke inhalation (Dries D and Endorf F,

Angelo, the burn patient in this case study, is on a variety of medications. Mr. Angelo is on Ascorbic acid, heparin injections, an insulin regular injection, multivitamins, Zinc sulfate, Famotidine tablet, Chlorhexidine, Zinc sulfate, senna tablet, Methadone, silver sulfadadiazine, acetaminophen, docusate oral liquid, midazolam, hydromorphone, fentanyl, propofol, thiamin, and folate. For most of the drugs they contain a drug nutrient interaction which should be monitored. With Ascorbic acid this increases iron absorption, so with this drug a iron toxicity needs to be monitored. With the heparin injection potassium needs to be monitored and with the insulin regular injection carbohydrate intake, serum glucose, and urine ketones needs to be monitored. Grapefruit consumption must be monitored when a patient is on methadone or midazolam HCL. With the senna tablet and the docusate oral liquid the patients fluid status, electrolyte balance, and fiber intake must be monitored. The patients fluid status must be watched when they are on hydromorphone and fentanyl injections (Pronsky ZM, Crowe JP SR,