BELTRAN, JEANNE MAURICE S.

BSN 3 – YA – 11

Week 9: Course Task- BURN INJURIES

Study Questions:
BURN INJURIES
A cook in a restaurant was rushed to the emergency department after sustaining burns on the
face, entire torso, anterior right upper extremity, and anterior right lower extremity including
the genitalia. Answer the questions pertinent to the patient’s condition.

1. Compute for the total body surface area affected by the burns.
a. FACE: 4 ½ %
b. ENTIRE TORSO: 36%
c. ANTERIOR RIGHT UPPER EXTREMITY: 4 ½%
d. ANTERIOR RIGHT LOWER EXTREMITY
e. GENITALIA: 1%
TOTAT: 1%

2. Using parkland formula, compute for the fluid resuscitation for the patient on:
a. First 8 hours = 7,700ml
7,700ml 20gtts/ml
--------------x---------------- = 320-321 gtts/min
8 hrs 60

b. Second 8 hours = 3,850ml

3,850ml 20gtts/ml
--------------x---------------- = 160 – 161gtts/min
8 hrs 60

c. Third 8 hours = 3,850ml

3,850ml 20gtts/ml
--------------x---------------- = 160 – 161gtts/min
8 hrs 60

3. What acid-base imbalance will the patient be predisposed to in the initial stages of burns?
Metabolic acidosis due to diminished tissue perfusion and tissue hypoxia that’s caused by
serious volume depression from burn and tissue harm increment potassium in serum level
which might irritate calculate for acidosis. Also curling ulcer increments corrosive
generation that will moreover cause metabolic acidosis.
4. What is the priority in the different phases of burn management.

a. Emergent phase: the need of client care includes keeping up the satisfactory
aviation rout and treating the client for burn shock
b. Acute phase: consideration is given to expelling the eschar and other cellular flotsam
and jetsam from the burned range. Debriment is one of the method utilized to remove the
eschar at that point the wound is treated with a tropical anti – microbial and a dressing is
connected,
c. Rehabilitative phase: the need is on making a difference the client returns to preinjury
life but in case that’s not conceivable, the center is on making a difference the client after
to the challenges the damage has forced

5. Part of the management for burn patient is the administration of Proton-pump

inhibitors (PPIs) –g. Omeprazole. What is the rationale behind the inclusion of the said
drug to the therapeutic management of burn patients?
Proton – pump inhibitors is a powerful acid – reducing drugs given to patient with
severe burn to prevent curling ulcer which is a breakdown of the lining of the
stomach. The severe stress decreases blood flow to the gastric mucosa & triggers
a series of changes that results in mucosal breakdown and will increase secretion
of gastric acid.