What would the 3 primary assessments be on an individual who was burned in an enclosed space (ie: inside a room) with second and third degree burns to the face and neck? What would the 3 primary assessments be for an individual who was struck by lightning? How does hypermetabolism impact a patient with a major burn? Questions 4-9 refer to the patient below: The nurse is assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her anterior and posterior chest, anterior abdomen, and anterior 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 50 kilograms. Using the rule of nines, calculate the patient’s total body surface area burned. Image transcription text195 95 197 99 94… Show more Based on the nurses’ calculation body surface area burned, and using the Parkland Formula:The Parkland formula for the total fluid requirement in 24 hours is as follows: 4ml x TBSA (%) x body weight (kg); 50% given in first eight hours; 50% given in next 16 hours. How much fluid resuscitation should the patient receive in the first 8 hours? What should the nurse stet the pump at mL/hr? How much fluid should the patient receive in the next 16 hours? What should the nurse set the pump at (mL/hr)? How will the nurse determine if fluid resuscitation is effective? What clinical manifestations would be expected based on the extent and location of her burn injuries during the first 24 hours? Formulate five priorities of care for each phase of the burn injury. Identify the most important intervention for each priority of care and most important complication for each priority of care for each phase of the burn injury. Priorities of Care#1 Intervention for each priority of care#1 complication for each priority of careEmergent1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. Acute 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. Rehabilitation 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. Health Science Science NursingNURSING 112
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