Skin Lab- Joel and Angela

Powerful Essays
Topics: Burn
Name____________________________________

Two case studies on the integumentary system
Chief Complaint: 8-year-old girl admitted for severe second- and third-degree burns following her rescue from a burning house.
History: Angela Creighton, an 8-year-old white female, was transported by ambulance to the emergency room after being rescued from her burning house. She was asleep at night when a spark from the family fireplace started a fire, leaving her trapped in her bedroom. By the time the fire rescue squad arrived, she had suffered severe burns and excessive smoke inhalation.
In the emergency room, Angela was unconscious. She had second-degree burns over 5% of her body and third-degree burns over 15% of her body -- both covering her thoracic and abdominal regions and her right elbow. Her vital signs were quite unstable: blood pressure = 55 / 35; heart rate = 210 beats / min.; and respiratory rate = 40 breaths / min. She was quickly deteriorating from circulatory failure. Two IVs were inserted and fluids were administered through each. Her vital signs stabilized and she was transported to the pediatric intensive care unit (ICU).
Angela regained consciousness the following morning, surprisingly complaining of only minor pain over her trunk. Following debridement of her burns and application of a broad-spectrum, topical antibiotic, a plastic epidermal graft was applied over the burned areas. Despite treatment with a broad-spectrum antibiotic, she developed a systemic staphylococcal infection, necessitating a switch to a different antibiotic.

Angela began a long, slow recovery. Her position in bed had to be changed every 2 hours to prevent the formation of decubitus ulcers (i.e. bedsores). She lost 9 pounds over the next 3 weeks, despite nasogastric tube feeding of 5000 calories ("Kcals") per day. After 9 weeks, sheets of cultured epidermal cells were grafted to her regenerating dermal layer. By the 15th week of her hospitalization, her epidermal graft was

You May Also Find These Documents Helpful

  • Satisfactory Essays

    4.1.5 Skin Lab

    • 282 Words
    • 2 Pages

    4.5.1 Skin Lab Open this page: http://education.vetmed.vt.edu/curriculum/vm8054/labs/Lab14/Lab14.htm Read through all of the notes and once you do that, return to the top and click on "Clinical Vignette". Answer these questions as fully as possible with complete sentences. 1. What's the mechanism that caused the hair loss and the inflamed regions of his skin? What cells are affected, and how do the skin's architecture and physiology play a role in the processes of injury and healing? The antigen-antibody…

    • 282 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Skin Wash Lab

    • 110 Words
    • 1 Page

    When doing this lab it is very important that you wear safety goggles, gloves and an apron. When working with pH it is important that you do not ingest this chemical and it does not get into your eyes or on your skin. If ingested make sure you contact medical assistance and provide bottle so they will know. If in eyes remove contact lenses and rinse repeated until it stops burning. Lastly if on skin wash with soap and water and remove contaminated clothing. If irritation occurs seek medical assistance…

    • 110 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    Joel

    • 3914 Words
    • 16 Pages

    College UNIVERSITY OF BALLARAT Assignment 1 Individual Assignment ITECH5401 ONLINE COMMUNICATION OR COMPUTER-MEDIATED COMMUNICATION (CMC) Submitted By: Student Name: Agassi Joel Vedala Student ID: 30108480 Table of Contents Cover Page; …………………………………………………………………..1 Table of Contents; ……………………………………………………………2 Abstract; ………………………………………………………………………3 Introduction; ……………………………………………………………………

    • 3914 Words
    • 16 Pages
    Best Essays
  • Good Essays

    Discussion of Joel

    • 433 Words
    • 2 Pages

    and exhales it as warm moist air. 2. To help Joel maintain a normal body temperature, his body will begin to send signals to conserve and generate heat. This can be done through vasoconstriction which keeps sweat glands inactive and conserves heat, and also by shivering which generate heat through muscle contractions. 3. Thermoregulation, a homeostatic process, is responsible for initiating and controlling the physiological responses helping to keep Joel warm. His body temperature is being monitored…

    • 433 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Joel Osteen

    • 716 Words
    • 3 Pages

    Kathleen Delcambre English 1301 – 2:30 – 4:00pm October 20, 2012 Joel Scott Osteen Joel Osteen was born March 5, 1963 he is an American Author, televangelist, and the senior pastor of Lakewood Church in Houston, Texas. His ministry reaches over seven million broadcast media viewers weekly in over hundredth nations around the world. Born in Houston, Texas, Osteen is one of five children of John Osteen and Dolores Pilgrim. His farther, a former Southern Baptist pastor, founded Lakewood Church…

    • 716 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Angela Merkel

    • 1906 Words
    • 8 Pages

    Tiffany Prill Challenges of Leadership Leadership Book Analysis Modern World Leaders- Angela Merkel The person chosen for this leadership report is Angela Merkel. I read “Modern World Leaders-Angela Merkel” written by Clifford W. Mills. Being born in Berlin, with my pride in being German, as well as being a female with my own leadership ambitions, I felt Angela Merkel was a perfect fit for me. Gaining knowledge on the leadership style from one of the most powerful and influential women in…

    • 1906 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Angelas Ashes

    • 805 Words
    • 4 Pages

    his wages at the pub, while he leaves his family waiting in despair keeping their heads high hoping he will come through this time. After a while when the wages never came, Angela lost hope in Malachy, so the family had to keep living the hard life, picking coal off the streets and getting food from the local deli. In time Angela gets sick and the boys are left with their Grandma and Aunt. Durring the war, over a million Irish people died from starvation due to the fact most of the food was shipped…

    • 805 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Chris And Angela

    • 1010 Words
    • 5 Pages

    In order to advice Chris and Angela, it is necessary to consider the law relating to misrepresentation. We will analyse the situation to see what laws are applicable and advise Chris and Angela. When Chris and Angela have bought the house, they signed a written contract. In this written contract, the terms have to be contained into. If David’s statements are not in the contract, it is only representations. The statements were not in the written and signed document, so they are not a term. Misrepresentation…

    • 1010 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Angela Davis

    • 2385 Words
    • 10 Pages

    Angela Yvonne Davis ' fame sparked from her association with the Black Panther and Communist parties. Though she is an extremely well educated woman, you only hear about one part of her life. Davis is more than a Communist or Black Panther. She is a person who has lived a full and influential life. She had a childhood, was involved in a very powerful movement and is still doing positive things. Her accomplishments should be looked at in their entirety and without prejudice. Angela Yvonne Davis…

    • 2385 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Angela Merkel

    • 935 Words
    • 3 Pages

    Angela Dorothea Kasner, better known as Angela Merkel, was born in Hamburg, West Germany, on July 17, 1954. Trained as a physicist, Merkel entered politics after the 1989 fall of the Berlin Wall. Rising to the position of Chairwoman of the Christian Democratic Union party, Merkel became Germany's first female chancellor, and one of the leading figures of the European Union, following the 2005 national elections. Strength in Weakness: Angela Merkel is Europe’s most powerful woman but many influential…

    • 935 Words
    • 3 Pages
    Good Essays