Flame Loss Care Plan
Nursing Care Plan
Nursing Diagnosis 1: Risk for Deficient Fluid Volume
Risk for Deficient Fluid Volume related to evaporative loss of fluids and capillary damage through the burn wound as evidenced by weakness shown and abnormalities in PTR, BP, SpO2 due to flame burn at work on the entire right leg.
Nursing Assessment: Objective data: (1) Temp 35.8°C in tympanic is below normal as pt sustained a flame burn at work causing heat loss from the body with risk of hypovolemic shock and dehydration. (2) BP 80/60 mmHg showing pt as in hypotension as partial-thickness burn on his entire right leg with 10% TBSA burn: blisters 3+, oedema 2+, red & moist skin, ↓ROM due to blood loss from flame burn. (3) Patient is alert
Nursing Diagnosis 1: Risk for Deficient Fluid Volume
Risk for Deficient Fluid Volume related to evaporative loss of fluids and capillary damage through the burn wound as evidenced by weakness shown and abnormalities in PTR, BP, SpO2 due to flame burn at work on the entire right leg.
Nursing Assessment: Objective data: (1) Temp 35.8°C in tympanic is below normal as pt sustained a flame burn at work causing heat loss from the body with risk of hypovolemic shock and dehydration. (2) BP 80/60 mmHg showing pt as in hypotension as partial-thickness burn on his entire right leg with 10% TBSA burn: blisters 3+, oedema 2+, red & moist skin, ↓ROM due to blood loss from flame burn. (3) Patient is alert