Case 2-125 yr-old male arrives with second and third degree burns to his posterior head

In: Nursing

Case 2-125 yr-old male arrives with second and third degree burns to his posterior head and…

 

 

Case 2-125 yr-old male arrives with second and third degree burns to his posterior head and face, entire trunk and anterior arms. He has a black, charred looking substance around his mouth and nose. He is conscious and responding appropriately. Paramedics were able to get a large-bore IV enroute. Vitals: BP (unable to obtain due to the burns); respiratory rate=40/min; heart rate=155; pulse oximetry=93% on room air; Weight=195 lbs

1.Using the “Rule of nines” calculate the body surface area of this patient that is burned.

2.Using the answer you calculated from above and the “Parkland Formula” for burn fluid resuscitation, calculate the total fluid he should be given over the next 24 hours (in ml). [Include total fluid, breakdown of fluid and the rates at which they would be given.]

3.Consider the fact that this patient has burns to his face. What are you most worried about regarding this?

4.What might indicate that the (answer to #3) needs to be addressed? (What might you see, hear, feel etc?)

5.What is the appropriate management for this (refer to the answer for #3 and #4). Be very specific. What would you do for this particular patient (think both in terms of fluid resuscitation and other things)?

6.What would be an indication that you have adequately replaced the fluid lost?

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