lOMoARcPSD|3013804
1
Burn Case Study
lOMoARcPSD|3013804
Scenario
You are working the day shift on the medical-surgical unit in a small rural
community hospital. Your assignment includes an 18-year-old woman, A.N.,
admitted the previous night. A.N. was caught in a house fire and sustained burns
over 30% of her body surface area, with partial-thickness burns on her legs and
back.
1. A.N. is undergoing burn fluid resuscitation using the standard Baxter
(Parkland) formula. She was burned at 0200 and admitted at 0400. She
weighs 110 pounds. Calculate her fluid requirements, specify the fluids used
in the Baxter (Parkland) formula, specify how much will be given, and
indicate what time intervals will be used.
110lb/2.2kg=50kg
4ml X kg X 30=6000
3000cc/16hrs=187.5cc/hr
1500cc over 8hrs
2. A.N. was sleeping when the fire started and managed to make her way out of
the house through thick smoke. You are concerned about possible smoke
inhalation. What assessment findings would corroborate this concern?
Soot in secretions, synged face, nasal hair, decreased O2, stridor
3. A.N. is concerned about visible scars. What will you tell her to allay her fears?
