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Original Question

Case Study, Chapter 57, Management of Patients with Burn Injury 1. 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 36.6°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. (Learning Outcomes 2 and 3) Using the rule of nines, calculate the patient’s total body surface area burned. Based on a calculation of 31.5% body surface area burned, and using the Parkland formula, how much fluid resuscitation should the patient receive in the first 8 hours? What clinical manifestations would be expected based on the extent and location of her burn injuries? Prioritize and describe the collaborative problems for this patient. 2. Phyllis Malcom, a 32-year-old patient, is admitted to the burns unit after having full-thickness burns of the face, arms, chest, and abdomen. The patient was driving home with a can of gasoline in the back seat floorboards to use in the lawn mower when she lit a cigarette and the fumes led to an explosion. The patient was brought to the burn unit for treatment. (Learning Outcome 3) What are the goals of burn care? What is the role of the nurse during the management of the wounds?

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