Can I have some of your inputs on this case...?

Question

leaking gas tank which suddenly exploded at 6pm. The patient was brought to the ER at 11pm unconscious with 1st degree burns on the lower extremities, 2nd degree burns at the head and neck area and 3rd degree burns at the chest, abdomen and both upper extremities. BP – 110/80, HR 98, RR – 27, T-36C.
1. what is your impression?
2. what is the TBSA injured?
3. what are your admitting orders?
4. what is the total fluid requirement of this patient? How will you give it and why?
5. what is Parkland’s formula?
6. what other measures can you do?
7. will you give analgesics? why? How will you give it?
8. how will you monitor this patient?
9. when will you refer this patient to your Resident?
10. did you rule out smoke inhalation syndrome?what is this?
11. how frequent should you do debribement?
12. what are the complications of her injuries?
13. what is the most common cause of death following this type of injury?
14. what bacteria will grow on this type of injury?
15. what are the4 criteria for admission to a burn center?
16. what is marjolin’s ulcer?
17. what is the difference between keloid and hypertrophic scar?
18. what is contracture? How do you treat this? How do you prevent this?
19. will you refer the patient to rehab med?
20. what topical antibiotics will you give? Side-effects?
21. anything else that can be done to save this patient?
22. what is the danger of electrical burns? Chemical burns?
23. what is burn wound sepsis? How will you recognize it?
24. what is skin grafting?
25. what is full thickness skin grafts? Partial thickness skin grafts?
26. what is a dermartome? What are the types?
27. what is “take”?
28. what is Curling’s ulcer? How will you prevent this?
29. will you refer this patient for psychiatric evaluation?
30. what are your comments regarding the case?

Answer 1

hey Guy Do your own homework!
Gee sh One question is acceptable but the whole freaking page is just cheating!

Answer 2

Are you asking somebody to do your homework for you, or are you writing a book?

This is a critically ill patient who has a large burn. Unconscious patients do not require analgesics. Burn patients who are awake require a lot of analgesics. This is a patient who may also have a neck injury, and is at risk for swelling of the airway and should be intubated and transferred to a specialized burn unit. Carbon monoxide poisoning would also have to be ruled out.

I would answer the rest of those questions but I don't have ten extra hours today.

Answer 3

I nswered 17 and my PC misbehaved. XOUT is right . I rated his answer good.