Chapter 24 Burns
Initial Management of a Patient with Burns
Approx 60 min
Name: Date:
Patient Profile
M.J. is a 63-year-old white woman transferred via ambulance to the hospital after a fire in her apartment. She was asleep when the fire started and managed to make her way out of the apartment through the smoke. She sustained second- and third-degree burns over the right side of her face and neck, right side of the anterior trunk, two thirds of the lower right thigh, and the right arm. In the emergency department, she received a tetanus shot, morphine for pain, and 2 L of IV fluids.
Subjective Data
Objective Data
Physical Examination
Burns Case Study Questions for Week 6
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Reference(s):
Harding, M. M., Kwong, J., Roberts, D., Hagler, D., and Reinisch, C. (2020). Lewis’s
Medical-Surgical Nursing: Assessment and Management of Clinical Problems (11th Edition),
St. Louis Missouri: Elsevier.
Answers-*LACTATED RINGER SOLUTION IS HELPED TO RAPID RESTORATION OF CIRCULATING BLOOD VOLUME OR FLUID BALANCE AFTER BURNS. *THREE POTENTIAL COMPLICATIONS OF BURNS IN THIS PATIENT1)PNEUMONIA 2) PAIN 3) RESPIRATORY ARREST *TEMPERATURE-99DEGREE F, SHOWS NORMAL -PULSE-88 b/mt-It is a Normal Heart Rate. -Respiration-28/mt shows Tachypnoea due to inhalation Injury of Lung tissue _Blood pressure-190/80 shows Hypertension related to CHF. *INHALATION INJURY ASSESSMENT 1) FACIAL BURNS 2) HOARSNESS OF VOICE 3) TACHYPNOEA 4) WHEEZING LUNG SOUNDS 5) SINGED NASAL HAIR
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