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Burn Injury Case Study (60 min)

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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”.

burn nursing case study

Critical Thinking Check
Bloom's Taxonomy: Application

Using the Rule of Nines, estimate the Total Body Surface Area Burned (TBSA %).

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Critical Thinking Check
Bloom's Taxonomy: Application

Calculate the total fluid volume required for resuscitation in the first 24 hours using the Parkland Burn Formula.

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What is the TOP nursing priority for Mr. Travis?

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You note circumferential burns around the Right Upper Arm and soot around the mouth with singed nose hairs, plus some facial swelling.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What are your main concerns for complication(s)?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

Physiologically, explain the alterations in Mr. Travis’s vital signs.

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Critical Thinking Check
Bloom's Taxonomy: Analysis

How will you know if fluid resuscitation is effective?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What are priorities for daily care of Mr. Travis?

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Critical Thinking Check
Bloom's Taxonomy: Comprehension

Mr. Travis will need skin grafts. How will you explain autologous skin grafts to Mr. Travis and his family?

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