Concept Map
LABORATOR
Burn is a result of making
contact with heated
Y FINDINGS
objects, such as boiling
What caused Patient Chad’s water, steam, hot cooking
burn was when she was oil, fire, or any hot objects. Hgb 20 g/dL; Hct 51%; K 4.9 mEq/dL; Na 133
caught in a house fire. She For adults, burns are most mEq/dL; Cl 100 mEq/dL; Glu 159 mg/dL; BUN
was sleeping when the fire commonly caused by fire. 28 mg/dL; Cre 1.0 mg/d
started but she managed to
In the emergent phase of a burn injury, the Hgb
make her way out of the
and Hct levels increase to above normal
house.
because of hemoconcentration from the large
fluid shifts and resulting to vascular
CAUSES MEANIN dehydration. Hct levels of 50% to 55% are
expected during the first 24 hours after injury,
G with return to normal by 36 hours after injury.
B U R N Nursing care for Patient Chad includes
assessment of pain, noting location and
The symptoms that Patient Chad character and intensity, Explain procedures
manifested are superficial partial- and provide frequent information as
thickness burns on Chad’s right anterior appropriate, especially during wound
leg, left anterior and posterior leg, and MANIFESTA debridement, Encourage use of stress
anterior torso. Vital signs of 100/66, 125, management techniques: progressive
34, SaO2 93%.
TION relaxation, deep breathing, guided imagery,
NX and visualization, etc.
INTERVENTI
MEDICAL .
Administration of Morphine for the
alleviation of pain of Patient Chad INTERVEN
TION