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1450  Smoke Inhalation



            Smoke Inhalation
  VetBooks.ir

                                                    Possible smoke
                                                      inhalation



                                               Signs of clinically significant
                                               smoke inhalation:
                                               •  Dyspnea and/or tachypnea
                                               •  Upper airway obstruction
                                               •  Changes in mentation
                                               •  Burned whiskers or soot in
                                                 nose and mouth
                                               •  Smoky smell to fur



                                                Respiratory effort increased
                                        Yes                              No


                          •  Provide supplemental oxygen         Provide supportive care and
                          •  Consider tracheostomy for              monitor for 24 hours
                             upper airway obstruction
                          •  Consider bronchodilator
                          •  Positive pressure ventilation may
                             be required                                        Fluorescein stain eyes:
                          •  Pulse oximeter can overestimate                    • Rule out corneal ulceration
                             oxygen-carrying capacity due to
                             carbon monoxide

                                                                        Systemic antimicrobial
                                                                        treatment—not routinely
                        Important considerations:                            indicated
                        •  It can take up to 24 hours after exposure
                           for signs of respiratory distress
                           to develop
                        •  Animals with neurologic signs         Identification and appropriate treatment of burns
                           have a poor prognosis
                        •  Pneumonia can develop up to one week
                           after inhalation event

           UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
           ORIGINALLY WRITTEN BY: Scott P. Shaw, DVM, DACVECC




























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