Scribd Logo
Upload

Welcome to Scribd!

  • 64 views

    Burn Ctu 312 - 2

    Uploaded by

    Shaira Ann Calamba
    A 14-year-old boy was injured in a wood stove explosion sustaining 82% total body surface area burns. He was intubated and given IV fluids, analgesics, and tetanus vaccine. He received wound care including excision, grafting, and dressings to treat his severe burns and reduce risk of infection while monitoring fluid balance and vital signs during recovery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Burn Ctu 312 - 2

    Uploaded by

    Shaira Ann Calamba
    64 views1 page
    A 14-year-old boy was injured in a wood stove explosion sustaining 82% total body surface area burns. He was intubated and given IV fluids, analgesics, and tetanus vaccine. He received wound care including excision, grafting, and dressings to treat his severe burns and reduce risk of infection while monitoring fluid balance and vital signs during recovery.

    Original Title

    BURN CTU 312_2.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A 14-year-old boy was injured in a wood stove explosion sustaining 82% total body surface area burns. He was intubated and given IV fluids, analgesics, and tetanus vaccine. He received wound care including excision, grafting, and dressings to treat his severe burns and reduce risk of infection while monitoring fluid balance and vital signs during recovery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    64 views1 page

    Burn Ctu 312 - 2

    Uploaded by

    Shaira Ann Calamba
    A 14-year-old boy was injured in a wood stove explosion sustaining 82% total body surface area burns. He was intubated and given IV fluids, analgesics, and tetanus vaccine. He received wound care including excision, grafting, and dressings to treat his severe burns and reduce risk of infection while monitoring fluid balance and vital signs during recovery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Medications:

    Calamba Shaira Ann V. Abea 14 yr old, M


    BSN 3Y1-3S  analgesia with I.V. propofol and morphine
     tetanus, ketamine
     silver sulfadiazine
     Mupirocin
    Pathophysiology: Chemicals in smoke damage to epithelial cell
     down.
    that releases chemotactic factors priming of neutrophils
    the attaching of neutrophils to site of injury releases of oxygen Abea 14-year old boy who stoked a fire
    radicals and proteases that may that may formulate exudate for in a wood burning stove and was hurt by a
    Medical Management:
    airway cast subsequent explosion. He was
     cervical spine precautions, endotrachealy intubating him
    transported to the local burn ICU (BICU).  providing fluid resuscitation
    He sustained an 82% total body surface  right brachial arterial line was placed along with right
    area (TBSA) thermal burn. Abe’s burns internal jugular central venous catheter
    included bilateral full thickness  urinary catheter
    circumferential burns to his legs and feet,  enteral nasogastic tube was placed in the left nares
    Dx: Thermal Burns arms, and hands, genetalia and deep  standard wound dressing
    partial thickness burn to his head and  surgical excision and grafting
    anterior trunk  retained material (loose debridement)
     prolonged cooling down procedure with water
    Medical history  ventilator

    Risk for infection related to destruction of skin barrier as


    evidenced by 82% TSBA and deep partial thickness
    Ineffective airway clearance related to trauma as Risk for fluid deficit related to loss of fluid in abnormal
    evidenced by direct upper-airway injury by flame routes as evidenced by 82% TSBA and deep partial
    thickness Burn wounds

    Second degree burn in face


    Second degree burn in anterior trunk
     Examine wounds daily, note and document changes in
    appearance, odor, or quantity of drainage.
     Examine unburned areas
     Check for breathing, and circulation .WOF: signs of smoke  Monitor vital signs, central venous pressure (CVP). Note  Monitor vital signs for fever
    inhalation, and pulmonary damage capillary refill and strength of peripheral pulses  Emphasize and model good handwashing technique
     Administer oxygen  Prepare for IVF replacement: Compute parkland formula: for all individuals coming in contact with patient.
     Assess gag and swallow reflexes = 11,808 ml 12 bottles of IVF First 8 hrs = 5.904 the next 16  Use gowns, gloves, masks, and strict aseptic
     Maintain patent airway semi fowler’s position hours run 50% = 2,952 technique during direct wound care
     Monitor respiratory rate, rhythm, depth: note presence of  Monitor Input and Output  Provide sterile or freshly laundered bed linens or
    pallor or cyanosis and carbonaceous or pink-tinged sputum.  Estimate wound drainage and insensible losses. gowns.
     Note presence of pallor or cherry-red color of unburned skin.  Weigh daily.  Prevent skin-to-skin surface contact
     Investigate changes in behavior or mentation  Evaluate changes in mentation.  Remove dressings and cleanse burned areas in a
     Monitor and graph serial ABGs or pulse oximetry.  Monitor laboratory studies: Hb/Hct, electrolytes, random hydrotherapy or whirlpool tub wash areas with a mild
    urine sodium. water & cleansing agent
     Insert and maintain indwelling urinary catheter.

     The patient will Demonstrate clear breath sounds,


    respiratory rate within normal range  The patient will achieve timely wound healing free of
     The patient will Demonstrate improved fluid balance & purulent exudate and be afebrile
    moist mucous membranes.

    You might also like