LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 153 d. Know the effect of carbon monoxide poisoning (change in oxyhemoglobin dissociation curve) and the consequences of that change on unloading of oxygen in the peripheral tissues e. Recognize the role of asphyxia in addition to that of lung injury in the outcome of victims of smoke inhalation d. Diagnosis and clinical manifestations 1. History a. Identify the clinical circumstances that predispose patients to carbon monoxide poisoning 2. Physical examination a. Recognize the physical findings associated with carbon monoxide poisoning b. Recognize the physical findings associated with an upper airway/laryngeal burn c. Recognize the pulmonary physical findings associated with smoke inhalation 3. Imaging a. Recognize the manifestations of smoke inhalation on x-ray study of the chest 4. Pulmonary function tests a. Recognize the changes in gas exchange and lung mechanics associated with lung injury due to smoke inhalation b. Know the blood concentrations of carbon monoxide that produce clinical problems and risk of death 5. Other investigations 6. Diagnostic criteria 7. Complications a. Recognize the pulmonary and extrapulmonary complications associated with smoke inhalation e. Prevention and therapeutic approach 1. Prevention 2. Therapeutic approach a. Know when to establish an airway in a patient with smoke inhalation and airway burns b. Understand the rationale for 100% oxygen therapy for carbon monoxide poisoning 3. Side effects of therapy f. Prognosis 1. Natural history 2. Prognosis with therapy 5. Near-drowning a. Epidemiology b. Etiology/genetics c. Pathophysiology 1. Pathology 2. Path mechanisms and consequences

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