Wednesday, July 17, 2019
Burn Case Study
Mr. Davis is a 56-year-old man who was involved in a fire in his home. He was smoking a cigarette and put down asleep, dropping the cigarette and igniting the bed linens. He sustained full thickness ruin over the speed half of his automobile trunk and neck (anterior and posterior) and the posterior aspects of both upper arms. He also sustained looking partial-thickness evokes to his face and hands. He arrived at your burn unit 5 hours after injury. Labs were drawn. A foley catheter and NG tube were inserted in the ER. Assessment findings Height is 72 inches, incubus is 185 lbs.You auscultate wheezes in the patients lungs and he has a productive coughing of a small amount of carbon-tinged sputum. Mr. Davis pass judgment his pain at a 9 on a scale of 0-10. He denies pain at the chest, neck, back, and upper arms. pissing output has totaled 150 ml since the foley was inserted 2 hours ago. His foley is draining burgundy-colored urine. Mr. Davis is experiencing nausea, has faint gut sounds, and his abdomen is distended. A nasogastric tube was inserted to blue intermittent suction and is draining patrician yellow-green liquid.His extremities are edematous making the pulses difficult to palpate. His blood pressure is 96/50, pulse 114 beats per minute, respirations are 24, and temperature is century degrees Fahrenheit. The greatest initial threat to a patient with a major burn is hypovolaemic rape. Using the above legal opinion 1. Do you think Mr. Davis is experiencing hypovolemic shock? If so, what data supports this? (2 points) Yes, Mr. Davis is most likely experiencing hypovolemic shock, due to low blood pressure, change magnitude heart rate, as well as an increase in respiratory rate.
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