Posted: August 3rd, 2022

Social worker

Scenario

You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

Instructions

Using the attached document (below), discuss the following:

1. The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the Parkland formula. Explain the time intervals and amounts for each.

2. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?

3. The client is in severe pain. What is the drug of choice for pain relief and how should it be given?

4. What nutritional requirements are necessary for the client’s burns to heal?

5. What measures are taken with the client to prevent infection?

Instructions

Submit your completed assignment by following the directions below. You must include 2-3 refences from scholarly sources and a reference list in APA format at the end of this document. Remember that all references should have accompanying in-text citations in the body of your work. Each answer should be appropriately cited, written in full sentences, and double-spaced per APA format.

Scenario

You are working the night shift on a medical-surgical unit. Your assignment includes a 19-year-old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

Questions


Discuss the following using instructions and case study outlined on page 1:

1. The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the 4 ml Parkland formula. Explain the time intervals and amounts for each.

A) Calculate Parkland formula amounts and rates:

Total volume:

Rate per hour:

Total fluid replacement for 1st 24 hours:

1st half of fluid replacement (1st 8 hours):

Total volume:

Rate per hour:

2nd half of fluid replacement (next 16 hours):

B) Why is this time interval important for rescue of the burn victim?

2. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?

3. The client is in severe pain. What are the drugs of choice for pain relief? How and when should they be given? Are there any risks associated with these medications?

4. As the client progresses through the stages of burn injury, the focus will begin to shift to nutrition and replenishment. What nutritional requirements are necessary for the client’s burns to heal? What is the goal of nutrition therapy in post-burn care?

5. Infection prevention and wound care are necessary to allow for healing of the injured tissue.

A) What measures are taken with the client suffering from burn injuries to prevent infection?

B) What dressings may be used to prevent infection? Be sure to list and describe at least 3 types of dressings.

References

Workman, D.I.M. L. ([Insert Year of Publication]). Medical-Surgical Nursing (10th Edition). Elsevier Health Sciences (US). 

https://ambassadored.vitalsource.com/books/9780323654050

Rubric:

The rubric for the assignment can be viewed within Blackboard once you click the assignment.

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