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Burns Clinical Reasoning Checkpoint Sally P., a 65-year-old retired nurse, is found unresponsive in her apartment after a major fire in the building and is transported to the nearest hospital. Upon her arrival at the emergency department, the health care team assesses and documents burns to her anterior trunk, anterior lower limbs bilaterally, and left anterior arm. 1. The nurse determines the percentage of TBSA burn injury by using the rule of nines. Describe the appropriate calculation for Sally's injuries. 2. Using the Parkland formula, calculate Sally's fluid requirements for the first 24 hours based on her weight of 100 kg. Clinical update: Further physical examination reveals the following data: Sally's left arm is erythematous and has brisk capillary refill and blisters. Her anterior chest is dry, leathery, and white. Her lower extremities are pale and dry; there are no blisters and capillary refill is absent. 3. Based on this description, identify the depth of burn of each area. 4. Burn injuries to Sally's chest place her at risk for at least three postburn complications. What are they? What assessment findings would confirm the development of these complications? 5. Describe the wound care Sally should receive before she is transferred to a burn unit.

Burns Clinical Reasoning Checkpoint Sally P., a 65-year-old retired nurse, is found unresponsive in her apartment after a major fire in the building and is transported to the nearest hospital. Upon her arrival at the emergency department, the health care team assesses and documents burns to her anterior trunk, anterior lower limbs bilaterally, and left anterior arm. 1. The nurse determines the percentage of TBSA burn injury by using the rule of nines. Describe the appropriate calculation for Sally's injuries. 2. Using the Parkland formula, calculate Sally's fluid requirements for the first 24 hours based on her weight of 100 kg. Clinical update: Further physical examination reveals the following data: Sally's left arm is erythematous and has brisk capillary refill and blisters. Her anterior chest is dry, leathery, and white. Her lower extremities are pale and dry; there are no blisters and capillary refill is absent. 3. Based on this description, identify the depth of burn of each area. 4. Burn injuries to Sally's chest place her at risk for at least three postburn complications. What are they? What assessment findings would confirm the development of these complications? 5. Describe the wound care Sally should receive before she is transferred to a burn unit.

Surgical Tech For Surgical Tech Pos Care
Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter12: Surgical Case Management
Section: Chapter Questions
Problem 12.1CS
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Burns Clinical Reasoning Checkpoint Sally P., a 65-year-old retired nurse, is found unresponsive in her apartment after a major fire in the building and is transported to the nearest hospital. Upon her arrival at the emergency department, the health care team assesses and documents burns to her anterior trunk, anterior lower limbs bilaterally, and left anterior arm. 1. The nurse determines the percentage of TBSA burn injury by using the rule of nines. Describe the appropriate calculation for Sally's injuries. 2. Using the Parkland formula, calculate Sally's fluid requirements for the first 24 hours based on her weight of 100 kg. Clinical update: Further physical examination reveals the following data: Sally's left arm is erythematous and has brisk capillary refill and blisters. Her anterior chest is dry, leathery, and white. Her lower extremities are pale and dry; there are no blisters and capillary refill is absent. 3. Based on this description, identify the depth of burn of each area. 4. Burn injuries to Sally's chest place her at risk for at least three postburn complications. What are they? What assessment findings would confirm the development of these complications? 5. Describe the wound care Sally should receive before she is transferred to a burn unit.
Transcribed Image Text:Burns Clinical Reasoning Checkpoint Sally P., a 65-year-old retired nurse, is found unresponsive in her apartment after a major fire in the building and is transported to the nearest hospital. Upon her arrival at the emergency department, the health care team assesses and documents burns to her anterior trunk, anterior lower limbs bilaterally, and left anterior arm. 1. The nurse determines the percentage of TBSA burn injury by using the rule of nines. Describe the appropriate calculation for Sally's injuries. 2. Using the Parkland formula, calculate Sally's fluid requirements for the first 24 hours based on her weight of 100 kg. Clinical update: Further physical examination reveals the following data: Sally's left arm is erythematous and has brisk capillary refill and blisters. Her anterior chest is dry, leathery, and white. Her lower extremities are pale and dry; there are no blisters and capillary refill is absent. 3. Based on this description, identify the depth of burn of each area. 4. Burn injuries to Sally's chest place her at risk for at least three postburn complications. What are they? What assessment findings would confirm the development of these complications? 5. Describe the wound care Sally should receive before she is transferred to a burn unit.
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