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Burrn Case Study

Burn Case Study

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Case Study (1 of



 M.K., a 2


-year-old male, fell from a ladder while repairing the roof

and struck a hot charcoal grill.

 He is a cigarette smoker and drinks beer three times a week.

 He works as a carpenter.

 He lacerated his left leg and his clothes caught fire.


Case Study (2 of 13)

 M.K. was brought to the ED.

 His burns were estimated to be partial and full thickness over his

face, neck, trunk, right upper arm, and left leg.


Case Study (3 of 13)

 What actual and potential risk factors might affect M.K. and his



Prehospital Care (3 of 3)

 Large thermal burns

 Cool burns for no more than



 Do not immerse in cool water or cover with ice

 Remove burned clothing

 Wrap in dry, clean sheet or blanket


Case Study (4 of 13)

 Two large-bore IVs are started.

 An indwelling urinary catheter is inserted into the bladder.

 By using the Lund-Browder chart, M.K.’s total body surface area

affected is 4




Case Study (5 of 13)

 What places M.K. at risk for an inhalation injury?

 What are your nursing goals for his care?


Case Study (6 of 13)

 M.K.’s breathing is stable on 100% humidified oxygen.

 He is taken to OR for debridement of burns of his trunk and arm.


Case Study (7 of 13)

 M.K. reports severe pain (


on a 0-to-10 scale) over his face and leg.

 He appears very anxious and expresses fear regarding his healing

and future.


Case Study (8 of 13)

 M.K. reports slight difficulty swallowing, and his voice is hoarse.

 He can swallow ice chips without difficulty.


Case Study (9 of 13)

 M.K. begins to diurese and his facial and body edema subside.

 He is taken to OR again for further debridement and skin grafting.


Case Study (10 of 13)

 At week 4, M.K. develops a temperature of 102° F, pulse is 98, and

respirations are 22.

 He has increased redness over his neck region burns and some

puslike drainage.

 He is started on a broad-spectrum antibiotic IV.


Case Study (11 of 13)

 M.K.’s skin grafts are healing well.

 His pain is now well controlled with oral morphine.

 M.K. begins a regular schedule of physical and occupational



Case Study (12 of 13)

 M.K. progresses in his healing and is transferred to a rehabilitation


 His parents have been very involved in his hospital care and are

now ready to help him in this phase.


Case Study (13 of 13)

 M.K. has been expressing some concern about his ability to return to


 He also states that he has trouble looking in the mirror and has been

avoiding his girlfriend’s phone calls.


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