A 5 year old child is brought to the emergency center after his clothes caught o

Question

A 5 year old child is brought to the emergency center after his clothes caught on fire while he was playing the family garage with matches. He has partial thickness 2nd degree burns and full thickness 3rd degree burns of his anterior chest, anterior abdomen, upper right arm, both shoulders and right hand. There is singed nasal hair apparent on physical examination and some minor burns apparent on his face. A Foley catheter is inserted and a small amount of clear urine is obtained. Two IV routes are established for fluid replacement.

Based on the information given, the nurse should be care for observe the child for:

Inhalation injury

Facial deformities

Sepsis

Renal failure related to dehydration

Explain your answer.

Explanation / Answer

Answer: Renal failure related to dehydration

Fluid losses are related to burn injuries and dehrdration should be avoided for for the period of 24 hours.

1) Urine excretion of 1-2 ml/kg need to be maintained in childrens.

2) Around 4 to 5 mL (Hartmann's solution per kg of body weight per percentage of total surface area) are administrated in childrens by dividing the volume in two shifts of 8 to 16 hours interval timings as a replacement fluid .

3) Along with above solution maintaince fluid 0.45 percentage of saline and 5 percentage of dextrose is administrated depending upon the body weight.

4) A stage of hypertonicity should be avoided that is the condition when salt is lost more from the body than the water.

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