Week 9: Course Task- BURN INJURIES

Jemelyn T. Loterte BSN 3-YA-11

BURN INJURIES

A cook in a restaurant was rushed to the emergency department after sustaining burns on the face,
entire torso, anterior right upper extremity, and anterior right lower extremity including the genitalia.
Answer the questions pertinent to the patient’s condition.

1. Compute for the total body surface area affected by the burns.

Face 4½%
Entire 18%
Anterior right upper extremity 4 ½%
Anterior right lower extremity 9%
Genitalia 1%
Total 37%

2. Using parkland formula, compute for the fluid resuscitation for the patient on:
Solution:
Given:4 ml Lactated Ringers
4ml x 80kg x 37% = 11,840 ml
Weight= 80kg
1st 8 hrs.
TBS= 37% 8÷4=2
11,840 𝑚𝑙
Solution:4ml×80kg×37 %= 11,840 ml 2
= 5, 920 ml

a.First 8 hours: 5,920 ml 2nd 8 hrs.

5,920 𝑚𝑙
b.Second 8 hours: 2,960 ml = 2, 960 ml
2

c.Third 8 hours: 2,960 ml 3rd 8 hrs.

𝟓,𝟗𝟐𝟎 𝒎𝒍
𝟐
= 2, 960 ml

3. What acid-base imbalance will the patient be predisposed to in the initial stages of burns?

Metabolic acidosis caused by decreased tissue perfusion and tissue hypoxia as a result of severe volume
depletion from consumption and tissue damage raises potassium levels in the serum and may be a
contributing factor to acidosis. Curling ulcers also increase acid production, which may lead to metabolic
acidosis.

4. What is the priority in the different phases of burn management

a. Emergent phase: addressing the client's burn shock and preserving an adequate airway are the top
priorities for care.
b. Acute phase: The burned area's eschar and other cellular debris are removed with care. One method
for removing the eschar is via debridement. After the wound has been treated with a topical antibiotic
and a bandage, the treatment is repeated.

c.Rehabilitative phase: If it's not possible to help the client get back to how things were before the
injury, then the emphasis is on assisting the client in adjusting to the changes the injury has imposed.

5. Part of the management for burn patient is the administration of Proton-pump inhibitors (PPIs) –g.
Omeprazole. What is the rationale behind the inclusion of the said drug to the therapeutic
management of burn patients?

A patient with severe burns may be prescribed proton-pump inhibitors to prevent the development of a
curling ulcer, which is a disintegration of the stomach's outer lining. The intense pressure reduces blood
flow to the stomach mucosa, which in turn causes a series of changes that lead to mucosal
disintegration and increased gastric acid emission.