Nursing care of client

with burns

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 BURN WOUND
ASSESSMENT
• Classified according to depth of injury and extent of
body surface area involved
• Burn wounds differentiated depending on the
level of dermis and subcutaneous tissue involved
1.superficial, partial thickness (first-degree),
epidermis
2. deep (second-degree, third ), dermis
3.full thickness (and fourth degree), epidermis,
dermis, and sub-dermal tissue such as muscle

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 Calculation
of Burned
Body
Surface Area
Calculation of Burned Body Surface
Area

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 TOTAL Superficial burns are not
BODY involved in the calculation
SURFACE
AREA
(TBSA)
Lund and Browder Chart is
the most accurate because
it adjusts for age

Rule of nines divides the

body – adequate for initial
assessment for adult burns

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 Lund Browder Chart used for determining
BSA

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Evans, 18.1, 2007)
 Head & Neck = 9%
RULES OF NINES
Each upper extremity (Arms) =
9%
Each lower extremity (Legs) =
18%
Anterior trunk= 18%

Posterior trunk = 18%

Genitalia (perineum) = 1%

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Assignmen
t

• A patient aged 55 years and

weighing 75 kg was assessed
to have burns to 20% of his
body surface area . How much
fluid replacement he would
require within the first 8
hours?.

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Thank
you

This Photo by Unknown

Author i s l icensed
under CC BY-SA

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