Could you please help me understand this case study? It has 4 questions. Thank you very much! A 69-y
Could you please help me understand this case study? It has 4 questions. Thank you very much! A 69-year-old female patient, J.L., is admitted through the ED after she was burned by the explosion of a paint can in her outdoor burn pile. She is awake and oriented but agitated and unable to recall the accident. She is reporting severe pain in her face, neck and right arm. Her voice is raspy and she is shivering. Hair on her head and arms are singed. She has areas of redness, waxiness and blisters covering her face, anterior neck, all of her right arm, chest, abdomen and anterior surface of her left arm. VS: BP (thigh) 110/52, HR 132, RR 36. Height 5’6″, weight 135 lbs. PMH: HTN, hyperlipidemia, MI seven years ago followed by chronic heart failure. Meds: Quinapril 20mg PO QD, furosemide 20mg PO QD, pravastatin 40mg PO QD, ASA 325 mg, metoprolol 25 mg1. What relevant data from the above histories has clinical significance to the nurse?Relevant DataClinical Significance 2. The nurse initiates the clinical pathway for burn clients. For each of the following nursing interventions, indicate the nursing actions below as: Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or not necessary at this time). 3. Which interventions are the first 4 priority actions? List as 1, 2, 3, and 4. InterventionPriorityIndicatedContraindicatedNon-EssentialAdminister 100% humidified O2 Administer IV fluids Administer IV Morphine Administer prophylactic tetanus toxoid Assist the client take a shower Establish IV access Estimate body surface area burned Initiate appropriate wound care Insert indwelling urinary catheter Prepare for endotracheal intubation Remove eschar to prevent infection The physician orders fluid replacement according to the Parkland formula. The Parkland formula for the total fluid requirement in 24 hours is as follows: 4ml x TBSA (%) x body weight (kg); 50% given in first eight hours; 50% given in next 16 hours. 4. Calculate the amount of Lactated Ringer’s solution to be infused for J.L. in thefirst 8 and 24 hours. Health Science Science Nursing TBMH MISC Share QuestionEmailCopy link Comments (0)
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