Burn Injury Case Study (60 min)

Included In This Lesson
Study Tools For Burn Injury Case Study (60 min)
Outline
Mr. Travis is a 32 year old male who presents to the ED after sustaining severe 2nd and 3rd degree burns in a house fire. The below diagram estimates his wounds. He weighs 85 kg and is 5’11”.
Using the Rule of Nines, estimate the Total Body Surface Area Burned (TBSA %).
Calculate the total fluid volume required for resuscitation in the first 24 hours using the Parkland Burn Formula.
What is the TOP nursing priority for Mr. Travis?
You note circumferential burns around the Right Upper Arm and soot around the mouth with singed nose hairs, plus some facial swelling.
What are your main concerns for complication(s)?
Physiologically, explain the alterations in Mr. Travis’s vital signs.
How will you know if fluid resuscitation is effective?
What are priorities for daily care of Mr. Travis?
Mr. Travis will need skin grafts. How will you explain autologous skin grafts to Mr. Travis and his family?
Nursing Case Studies
This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.
We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.