You are admitting a 20 mo old male, 1.5 hours post partial thickness scald burn. The burns
are on the anterior torso and neck, right upper extremity and the right side of the face.
There are large blisters on the torso and upper extremity. In addition, there are splash
marks on the left lower and upper extremities without blisters and have intact skin. The
transport team placed wet saline dressings prior to transport. Wt. 13.5kg Ht. 96cms
1. What methods could you use to determine/calculate burn size/area? (0.25)
TBSA chart, using the child’s palm size which is equivalent to about 1% of the child’s body
surface area, rule of 9’s
2. Choose a method and record estimated burn area: (0.25)
Method: Rule of nines
- Burn Area:
31.5%
3. What IV fluid is indicated? Why? (0.5)
Lactated ringers is the fluid of choice in burn patients. It is a isotonic solution
will maintain hydration without fluid overloading the pt and it can restore
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