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▪ Erythema
▪ Swelling of oropharynx and nasopharynx
▪ Singed nasal hairs
▪ Flaring nostrils
▪ Stridor, wheezing, and dyspnea
▪ Hoarse voice
▪ Sooty (carbonaceous) sputum and cough
▪ Tachycardia
▪ Agitation and anxiety
Table 69-6
Carbon Monoxide Poisoning
Blood Level (%) Clinical Manifestations
1-10 Normal level
11-20 (mild poisoning) Headache
Flushing
Decreased visual acuity
Decreased cerebral functioning
Slight breathlessness
21-40 (moderate poisoning) Headache
Nausea and vomiting
Drowsiness
Tinnitus and vertigo
Confusion and stupor
Pale to reddish-purple skin
Decreased blood pressure
Increased and irregular heart rate
Depressed ST segment on electrocardiogram
41-60 (severe poisoning) Coma
Seizures
Cardiopulmonary instability
61-80 (fatal poisoning) Death
Adapted from Ignatavicius D, Workman ML: Medical-surgical nursing: patient-centered
collaborative care, ed 8, Philadelphia, 2016, Saunders.
Table 69-7
Phases of Management of the Burn Injury
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