Nursing Q Caring for a client with a burn injury No unread replies. No replies.
ID: 138145 • Letter: N
Question
Nursing
Q
Caring for a client with a burn injury No unread replies. No replies. Initial Discussion Post: Mr. Cinder is a 55-year old man admitted to the burn unit 48 hours ago with a diagnosis of third-degree burns. He was burning leaves in his yard when his clothes caught fire. The RN is going to care for Mr. Cinder, what will he/she expect to find related to: Skin involvement, clinical manifestations, and wound appearance. What are the pathophysiological changes associated with severe burns? When Mr. Cinder enters the rehabilitative phase of his recovery what are three possible complications? For one of the complications what nursing diagnosis would you identify as a priority and why? Base your initial post on your readings and research of this topic.
References (APA)
Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.
Burchum, J. R., & Rosenthal, L.D. (2016). Lehne’s pharmacology for nursing care (9th ed.). St Louis, MO: ElsevierHinkle, J., & Cheever, K. (2014).
Explanation / Answer
Pathophysiological changes associated with severe burns
In case severe burns epidermis,dermis,subcutaneous tissue and bone get affected
which result in both local and systemic responses
local responses
*Irreversible tissue loss due to constituent protein coagulation.
*Obstruction of blood flow in surrounding areas and decreased
tissue perfusion.
* Blood clots and edema result in deepening of wound.
Systemic responses
* Due to release of mediators of inflammation like histamine
cytokines at the site of severe burn result in systemic
responses like
* Brochoconstriction, acute respiratory distress
syndrome.
* Vasoconstriction, decreased myocardial contractility
and fluid loss result in systemic hypotension.
* Basic metabolic rate increases and splanchnic
hypotension will occur.
* Collapse of both humoral and cell mediated immune
response system.
Three complications of burns
* Acute renal failure.
* Hypovolemic shock.
* Compartment syndrome.
A nursing diagnosis for Hypovolemic shock
* Deficient fluid volume related to increased fluid loss from burn injury.
Fluid deficiency is the first priority in case of hypovolemic shock because
if patient fail to restore fluid level as per body requirement death will
occur.
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