Patient with Burns, Chapter 24 Overview A burn is a tissue injury that occurs when there is contact between tissue and an energy source such as heat,…

Question Answered step-by-step Patient with Burns, Chapter 24OverviewA burn is a tissue injury that occurs when there is contact between tissue and an energy source such as heat, flame, chemicals, electrical current, or radiation. The severity of a burn is determined by the depth, extent, and location of the burn in addition to the patient risk factors. Severe burns can cause an increase in capillary permeability with resultant fluid and electrolyte shifts, leading to edema and hypovolemic shock. Burns can be classified into three phases. The emergent (resuscitative) phase is the period of time required to resolve the immediate, life-threatening problems resulting from the burn injury. The acute (wound healing) phase begins with the mobilization of extracellular fluid and subsequent diuresis. This phase is concluded when the burned area is completely covered by skin grafts or when the wounds are healed. The rehabilitative (restorative) phase begins when the patient’s burn wounds have healed and the patient is engaging in some level of self-care.ObjectivesIdentify relevant assessment data for a patient with a burn injury.Analyze results of diagnostic studies for a patient with a burn injury.Prioritize nursing care for a patient with a burn injury.Describe interprofessional care of a patient with a burn injury, including fluid replacement therapy and wound management.Appropriately delegate nursing care of a patient with a burn injury.Case StudyP.B., a 56-year-old housewife and grandmother, is admitted to the emergency department by ambulance with burns sustained when her gas furnace exploded while she was relighting a pilot light. She is awake and oriented but very agitated and frightened and cannot remember the accident. She is having severe pain in her face and upper chest. She is shivering and complains of being cold, and her voice is raspy. Her hair and eyebrows are singed, and she has mixed areas of red, fluid-filled vesicles and waxy, white skin involving her face, anterior neck, all of her right arm, dorsal aspect of her left arm, and anterior chest and abdomen. Her heart rate is 132 beats/min, respiratory rate is 36 breaths/min, and a thigh blood pressure is 110/52 mm Hg. P.B.’s past medical history is positive for a myocardial infarction at age 50 with resultant chronic heart failure. Her current medications are as follows: quinapril (Accupril) 20 mg daily, furosemide (Lasix) 20 mg daily, and atorvastatin 40 mg daily. Health Science Science Nursing RNSG 2361 Share QuestionEmailCopy link Comments (0)