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HESI RN Case Study Burns A+ - What is the primary goal of fluid resuscitation in a burn patient? ️️ To restore circulating blood volume and maintain organ perfusion. - Why is the Parkland formula important in burn management? ️️ It provides a guideline for calculating fluid needs ...

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  • November 21, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
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  • hesi rn case study burns a

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HESI RN Case Study Burns A+

- What is the primary goal of fluid resuscitation in a burn patient?

✔️✔️ To restore circulating blood volume and maintain organ perfusion.



- Why is the Parkland formula important in burn management?

✔️✔️ It provides a guideline for calculating fluid needs in the first 24 hours after a burn.



- What is the recommended type of fluid for initial resuscitation in burn patients?

✔️✔️ Lactated Ringer's solution.



- How should the total fluid calculated by the Parkland formula be administered within the first 24
hours?

✔️✔️ Half of the total volume should be administered in the first 8 hours, and the remaining half in
the next 16 hours.



- What is the most reliable indicator of adequate fluid resuscitation in a burn patient?

✔️✔️ Urine output of 0.5-1 mL/kg/hr for adults.



- Why are burn patients at risk of hypothermia?

✔️✔️ They lose their skin barrier, which helps regulate body temperature.



- What is the significance of monitoring peripheral pulses in a burn patient?

✔️✔️ To assess for circulatory compromise due to eschar or swelling.



- Why is early removal of non-viable tissue important in burn care?

✔️✔️ It reduces the risk of infection and promotes healing.

, - What complication should be monitored for in patients with circumferential burns of the limbs?

✔️✔️ Compartment syndrome.



- What is the purpose of applying a topical antimicrobial agent to burn wounds?

✔️✔️ To prevent infection and reduce bacterial colonization.



- Why are burn patients often placed on a high-protein, high-calorie diet?

✔️✔️ To support tissue healing and meet increased metabolic demands.



- Why is it important to assess airway status in a patient with burns around the face or neck?

✔️✔️ These burns may indicate potential airway swelling and risk of obstruction.



- What is the purpose of an escharotomy in burn management?

✔️✔️ To relieve pressure and restore circulation in areas with constrictive eschar.



- Why should intravenous rather than oral pain medications be used in the acute phase of burn care?

✔️✔️ Absorption of oral medications may be impaired in burn patients due to decreased
gastrointestinal perfusion.



- Why is tetanus prophylaxis given to burn patients?

✔️✔️ Burns are open wounds that increase the risk of tetanus infection.



- How does inhalation injury complicate burn treatment?

✔️✔️ It can lead to respiratory distress or failure, requiring oxygen therapy or mechanical ventilation.



- What is the role of physical therapy in burn recovery?

✔️✔️ To maintain joint mobility and prevent contractures.

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