A 27 year-old male was involved in a gasoline explosion and sustained burns to his face, neck, chest and arms. Upon arrival at the emergency room, he complained of intense pain in his face and neck, both of which exhibited extensive blistering and redness. These findings were all curiously absent in the burned areas of the chest and arms, which had a pale, waxy appearance. Examination revealed the skin on the patient's chest and arms to be leathery and lacking sensation. The ER physician commented to an observing medical student that skin grafting of these areas would be required. Why would the areas that contained second degree burns be red, blistered and painful, while third-degree burn areas were pale and had no sensation?
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Identify the problem. In this case, the problem is that the patient's face and neck exhibit extensive blistering and redness, while the areas that sustained third-degree burns are pale and lack sensation. Show more…
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Sri K.
18-year-old girl admitted for severe burns following her rescue from a burning house. She was transported by ambulance to the emergency room after being rescued from her burning house. She was asleep at night when a spark from the family fireplace started a fire, leaving her trapped in her bedroom. By the time the fire rescue squad arrived, she had suffered severe burns and excessive smoke inhalation. In the emergency room, she was conscious and answered the questions properly. She had blisters in her anterior of her chest and anterior part of her right arm and forearm. Also she had sever burn in her both lower limbs (anterior and posterior of both sides) that turn the limbs dark brown. She had pain in her chest and arm but no pain in her lower limbs. Answer the following questions; a) Which type or types of burn does she have? (2 points) b) Why she doesn’t have pain in lower limbs? (1 points) c) Why you must estimate the surface area of the body is affected? (2 points) d) How you estimate the affected area of burn? (1 point) e) Why you must estimate the affected area in this patient? (1 point) f) What are the two life threatening conditions in this patient? (2 points)
Supreeta N.
65. A client who sustained a chemical burn with a calculated 36% total body surface area (TBSA) burn is brought to the emergency room. The client weighs 176 lbs. The paramedic reports 300 mL of LR was administered IV prior to the emergency room arrival. Using the American Burn Association (ABA) fluid resuscitation method, how many mL remain for the nurse to administer over the first 8 hours post-burn injury? 75. While on his way home from work, a nurse comes across a house fire with 4 people who have sustained various regions of burns to their bodies. Which client does the nurse help first? a. An adult with third-degree burn to both anterior legs b. A teenager with first and second-degree burns to the back and posterior legs bilaterally c. An adult with singed nose hairs and first and second-degree burns to the face and neck d. A toddler with a second-degree burn to his arms and torso
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