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    Burns Case Study

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    yohans Teferi
    A 34-year-old female patient sustained second- and third-degree burns over 31.5% of her total body surface area from a house fire. She requires fluid resuscitation of 7560 ml in the first 8 hours and 3780 ml over the subsequent 16 hours based on her weight and extent of burns. She is at risk for shock, rapid temperature changes, decreased bowel sounds, and fluid overload given the severity and locations of her burns. Priorities in treatment include airway management, fluid and electrolyte balance, wound care and infection prevention, nutritional support, and managing anxiety.

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    Burns Case Study

    Uploaded by

    yohans Teferi
    11 views2 pages
    A 34-year-old female patient sustained second- and third-degree burns over 31.5% of her total body surface area from a house fire. She requires fluid resuscitation of 7560 ml in the first 8 hours and 3780 ml over the subsequent 16 hours based on her weight and extent of burns. She is at risk for shock, rapid temperature changes, decreased bowel sounds, and fluid overload given the severity and locations of her burns. Priorities in treatment include airway management, fluid and electrolyte balance, wound care and infection prevention, nutritional support, and managing anxiety.

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    Breast cancer case study

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    A 34-year-old female patient sustained second- and third-degree burns over 31.5% of her total body surface area from a house fire. She requires fluid resuscitation of 7560 ml in the first 8 hours and 3780 ml over the subsequent 16 hours based on her weight and extent of burns. She is at risk for shock, rapid temperature changes, decreased bowel sounds, and fluid overload given the severity and locations of her burns. Priorities in treatment include airway management, fluid and electrolyte balance, wound care and infection prevention, nutritional support, and managing anxiety.

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    11 views2 pages

    Burns Case Study

    Uploaded by

    yohans Teferi
    A 34-year-old female patient sustained second- and third-degree burns over 31.5% of her total body surface area from a house fire. She requires fluid resuscitation of 7560 ml in the first 8 hours and 3780 ml over the subsequent 16 hours based on her weight and extent of burns. She is at risk for shock, rapid temperature changes, decreased bowel sounds, and fluid overload given the severity and locations of her burns. Priorities in treatment include airway management, fluid and electrolyte balance, wound care and infection prevention, nutritional support, and managing anxiety.

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    © All Rights Reserved
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    Burns Case Study

    You are assigned to care for a 34-year-old female patient who has sustained
    second- and third-degree burns over her neck, chest, abdomen, and left arm.
    The burn injury occurred during a fire in her home; her spouse did not
    survive the fire, but, due to the patient’s critical condition, she is not aware
    of his death. She is currently in the surgical intensive care unit. Her body
    temperature is 97.8°C. Her pulse is 126. Her respiration rate is 12. Her blood
    pressure is 104/60. She is sedated with a continuous infusion of Propofol and
    is intubated and on a mechanical ventilator. She has a right femoral triple
    lumen catheter and a right radial arterial line. The patient weighs 60 kg.

    1. Using the rule of nines, calculate the patient’s total body surface area
    burned.
    4.5 neck, 18 for the chest and abdomone and 9 for the left arm. This
    will result in 31.5 %

    2. Based on a calculation of total body surface area burned, and using


    the Parkland Formula, how much fluid resuscitation should the patient
    receive in the first 8 hours and in the subsequent 16 hours?

    4 ml x 31.5 x 60 kg = 7560 ml. kg


    3780 ml in the first 8 hours = 473 ml/hr
    3780 ml over the subsequent 16 hours = 236 ml/hr

    3. What clinical manifestations in the emergent/resuscitative phase would


    be expected based on the extent and location of her burn injuries?

    Monitor shock
     Confusion
     Glycosuria
     Rapid temp elevations
     Decreased bowel sounds
     Blood pressure average or low

    Assessing fluid overload


     Jugular vein distension
     Rapid, thready pulse
     Lung crackles

    4. What are the priorities in the acute/intermediate phase?

     Airway complications
     Fluid/electrolyte balance
    CBC with differential: WBCs decreased with left shift
    Glucose: remains elevated due to stress
    Hct and Hgb: decreased (hemodilution) due to fluid moving back
    into vascular fluid

     Would care and closure


    Premedicate before you do the dressing change.
     Prevention or treatment of complication such as infection
    Teaching the family that they are not suppose to touch the
    patient.
    we need to be carefull in dressing change to prevent infection
     Nutiritional support
    Carbohydrates
    Since protein will take a higher energy to digest, it is not
    recommeneded over carbs.
     Provide nursing support for anxiety
     Early mobility

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