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 ...
- 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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