Burn: Respiratory System and 18-year-old Female College Essay

865 Words Jul 4th, 2012 4 Pages
Case Study 2: Burns

Situation: You are working the day shift on the medical-surgical unit in a small district hospital. Your assignment includes an 18-year-old female college student, admitted the previous night. She was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

1. The client is undergoing burn fluid resuscitation using the standard Baxter (Parkland) formula. She was burned at 0200 and admitted at 0400. She weighs 110 pounds. Calculate her fluid requirements, specify the fluids used in the Baxter formula, specify how much will be given, and indicate what time intervals will be used.

Baxter Formula: Lactated ringer's 4 ml/kg/%burn/24 hours -
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What is the major drawback to this method of treatment?

Increased chance of hypothermia from exposure.

6. A special burn diet is ordered for the client. She has always gained weight easily and is concerned about the size of the portions. What diet-related teaching will you provide?

Burn patients are usually provided by high protein and calorie diet supplemented by vitamins. Suggesting small frequent meals would help decrease weight gain.

7. Tissues under and around the client’s burns are severely swollen. She looks at you with tears in her eyes and asks, “Will they stay this way?” What is your answer?

Swelling on 2nd degree burns usually occurs but it will subside soon as long as there is no sign of infection.

8. After significant burn injury, the patient is at high risk for infection. What measures will you institute to prevent this?

➢ Good cleansing and proper monitoring for signs of infection. ➢ Use of topical antimicrobial agents such as silver sulfadiazine.

9. The client has one area of circumferential burns on her right lower leg. What complication is she in danger of developing, and how will you monitor for it?

She is in danger of restricting blood flow causing an increase in tissue pressure or ischemia on the affected part. Carefully examine the extremity distal to the wound in patients with circumferential burns of the extremities. Look for evidence of ischemia (diminished

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