Reference no: EM133678096

Assignment:

Elliott Curtis, a 65-year-old married man, is brought to the emergency department with burns to his face, neck, torso, right arm and hand, and right foot from a kitchen grease fire. He arrives with an 18-gauge IV line with lactated Ringer's solution infusing at 100?mL/hour, and he is receiving 100% humidified oxygen by mask.

Subjective Data

• Complains of impaired vision and swallowing difficulties

• States his burns are painful and that he is scared

• States he has "diabetes and high blood pressure"

Objective Data

Physical Examination

• Patient is awake, alert, and oriented but in some distress

• Eyes are red and irritated

• Voice is hoarse; nasal hair is singed

• Face is reddened, with blisters noted on the nose and forehead

• Right arm, right hand, anterior torso, neck, and right foot have shiny, bright red, wet wounds

• Patient is shivering

1. Priority decision: What are the priorities of care in the prehospital setting and emergency department? How should Mr. Curtis's airway, breathing, and circulation be managed?

2. Priority decision: What signs and symptoms indicate that Mr. Curtis likely has an inhalation injury? What priority interventions can be anticipated?

3. What pain medications might be considered to relieve his pain?

4. Which of the criteria for admission to the hospital burn unit does Mr. Curtis meet?

5. What metabolic disturbances would be expected soon after Mr. Curtis's admission? Explain the physiological basis for these changes.

6. How might Mr. Curtis's comorbidities affect his burn care and rehabilitation?

7. What measures should be taken to support Mr. Curtis's family?

8. Priority decision: What three priority nursing diagnoses and any collaborative problems can be identified based on the assessment data presented?

9. Evidence-informed practice: What are the most effective wound care strategies to manage Mr. Curtis's burn wounds?

10. When assessing a client with a partial-thickness burn, what would the nurse expect to find?

Please make concept for a above information