parislafleure

thank you tammy1974 for your comment

i am very sorry guys, so here is what i came up with but i still need your help. This is a case of a 25-year-old male patient who fell out of a tree and struck a hot charcoal grill. He tears his left leg, and his clothes caught fire. On his admission to the ED, the 25 years old is diagnoses with a partial and full-thickness burn over his face, neck, trunk, right upper arm, and left leg. Using the Lund-Browder chart, a quick assessment based on the rule of nine estimate the extend of his burn injury at 46% of his TBSA (Total Body Surface Area). IV is started, and indwelling urinary catheter is inserted into bladder. His left leg is splinted, and the lacerated wound is cleaned and debrided. He is alert, and his voice is slightly hoorifice. I know that in the first 48 hours of burn, patients will lose fluids from the vessels, sodium chloride and protein which flow into the injured area causing blisters, swelling, low urine output and low blood pressure. So the important factors here to consider will be to provide this patient with fluids and electrolytes which have already been done. He will be getting an IV Lactated Ringers of 750ml per hour since his burns were 46%; antibiotics, which are usually topical should be prescribed to prevent infections and bacteria growth. For this patient, Silvadene will ideal prescription which is used for more severe burns. Silvadene is a sulfa medicine used to prevent and treat bacterial or fungus infections. This medication should be applied using a sterile technique to affected areas and the areas should be washed before applying. Urine output will be monitor for volume and signs of blood. Tetorifice toxoid should be administered for immunization. For this patient, I am going to assess and manage level of pain and anxiety. In his case, pain medication will be administered to ensure that this patient is as comfortable as possible. Such medication that can be administer to the patient can be Morphine Sulfate, Demerole and/ or vicodin which are prescribed for severe pain which I believe is the state in which this 25 years old is in . I am going to provide support to patient and family during initial crisis phase to ensure the teaching, understanding and the involvement of everybody. After this, I will place the patient in position that prevents contracture formation. I will assess nutritional needs and begin feeding patient by most appropriate route as soon as possible because feeding the patient by most appropriate route will increase intestinal blood flow, and promotes optimal conditions for wound healing. Adequate calories, supplemental vitamins and proteins should be provided because failure to do so may leads to malnutrition and delayed healing. Proteins powder can also be added to food and liquids. After the patient wound have healed and the patient is able to resume a level of self-care activity, rehabilitation phase begins approximately as early as 2 weeks or as long as 7 to 8 months after the burn injury. At this phase, my goal will be to assist the patient in resuming a functional role in society and to accomplish functional and cosmetic reconstructive surgery. After this, I will prepare for discharge home or transfer to rehabilitation hospital.

sorry guys that you all feel this way, i am not lazy but the problem is that i have started the homework but for reasons, i keep getting stuck. please help me!:heartbeat

please help me identify nursing assessment, problems identified, and interventions appropriate, the immediate priority (priorities) and the long term priorities for this patient? Include how i would evaluate my nursing care in this case study. a 25-year-old male fell out of a tree and struck a hot charcoal grill, lacerated his left leg, and his clothes caught fire Once brought to ED, his burns were estimated to be partial and full thickness over his face, neck, trunk, right upper arm, and left leg. He is alert, and his voice is slightly hoorifice His left leg is splinted, and the lacerated wound is cleaned and debrided . IV is started, and indwelling urinary catheter is inserted into bladder. Using the Lund-Browder chart, his total body surface affected is 46%. Assuming he did not receive any fluids prior to arriving at the ED 1 hour after burn, what would you expect for IV fluid infusion over the next twenty four hours?. please help

please can somebody help me analyze this case study? In a professional narrative form, write a formal paper describing an analysis of the following situation, and identifying nursing assessment, problems identified, and interventions appropriate. What are your immediate priority (priorities) and your long term priorities for this patient? Include how you would evaluate your nursing care. 25-year-old male fell out of a tree and struck a hot charcoal grill, lacerated his left leg, and his clothes caught fire Once brought to ED, his burns were estimated to be partial and full thickness over his face, neck, trunk, right upper arm, and left leg. He is alert, and his voice is slightly hoorifice His left leg is splinted, and the lacerated wound is cleaned and debrided . IV is started, and indwelling urinary catheter is inserted into bladder. Using the Lund-Browder chart, his total body surface affected is 46% Assuming he did not receive any fluids prior to arriving at the ED 1 hour after burn, what would you expect for IV fluid infusion over the next twenty four hours? (Be specific in terms of time) Support your discussion with evidence from the professional nursing periodical literature. Be sure and document your sources appropriately and give correct credit to appropriate sources. Failure to do so will result in a 0 for the paper. Grading (10% of course grade): I Introduction- II Analysis of current situation with problem identification III Immediate priority/priorities with rationale IV Interventions appropriate for immediate priorities V Long term priorities for this patient VI Plan to evaluate the nursing care for this patient VII Summary and conclusions VIII Presentation of paper: grammatically correct, logical flow, spelling IX Use of appropriate literature to support presentation

could somebody please help me with this med-surg case study? In a professional narrative form, write a formal paper describing an analysis of the following situation, and identifying nursing assessment, problems identified, and interventions appropriate. What are your immediate priority (priorities) and your long term priorities for this patient? Include how you would evaluate your nursing care. 25-year-old male fell out of a tree and struck a hot charcoal grill, lacerated his left leg, and his clothes caught fire Once brought to ED, his burns were estimated to be partial and full thickness over his face, neck, trunk, right upper arm, and left leg. He is alert, and his voice is slightly hoorifice His left leg is splinted, and the lacerated wound is cleaned and debrided . IV is started, and indwelling urinary catheter is inserted into bladder. Using the Lund-Browder chart, his total body surface affected is 46% Assuming he did not receive any fluids prior to arriving at the ED 1 hour after burn, what would you expect for IV fluid infusion over the next twenty four hours? (Be specific in terms of time) Support your discussion with evidence from the professional nursing periodical literature. Be sure and document your sources appropriately and give correct credit to appropriate sources. Failure to do so will result in a 0 for the paper. Grading (10% of course grade): I Introduction- II Analysis of current situation with problem identification III Immediate priority/priorities with rationale IV Interventions appropriate for immediate priorities V Long term priorities for this patient VI Plan to evaluate the nursing care for this patient VII Summary and conclusions VIII Presentation of paper: grammatically correct, logical flow, spelling IX Use of appropriate literature to support presentation