PT is a 52-year-old married white man, arrives at the emergency department with burns to his face, n. Question
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PT is a 52-year-old married white man, arrives at the emergency department with burns to his face, neck, chest, right arm and hand, and right leg and foot. He was burning brush on his farm when the fire went out of control. He has an 18-gauge IV with NSS running at 100 mL/hr, and he is receiving 100% humidified O2 by a mask.
Subjective Data
Complains of blurry vision and trouble swallowing
States his burns are painful and that he is scared
States he is a “diabetic” and has “high blood pressure.”
Objective Data
Awake, alert, and oriented, but in some distress
Eyes are red, irritated.
Voice is hoarse; nasal hair is singed.
The face is reddened with blisters noted on the nose and forehead.
Right arm, right hand, chest, neck have shiny, bright red, wet wounds with blisters.
The right calf and ankle have multiple areas of dark brown skin.
Discussion Questions
What factors place G.M. at high risk for an inhalation injury?
What priority interventions can be anticipated for G.M.?
Based on the physical assessment, what are the depths of GM’s burns?
What pain medications might be considered to relieve his pain?
Describe wound care for each of G.M’s burn areas.
List interventions to maintain mobility of G.M.’s burned areas
How might G.M.’s co-morbidities affect his burn care and rehabilitation?
SCIENCE
HEALTH SCIENCE
NURSING
GNRS 556P
PT is a 52-year-old married white man, arrives at the emergency department with burns to his face, n
