Burn Case Study
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
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
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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