Following a burn, charring and insensitivity to pain was found over the entire surface of the right lower limb, entire surface of right trunk and anterior surface of the right upper limb. Approximately what percent of the body surface had burns and how would you classify the burn?

Answers

Answer 1

Answer:

The  burn may be classified as a Fourth-degree burn with 31 % of TBSA.

Explanation:

There are 4 types of burn classifications: Superficial burn (first-degree), Superficial partial thickness burn or Deep partial thickness burn (second-degree), Full thickness burn (third-degree), and Fourth-degree burn.

Superficial burn or First-degree burnInvolved layer is epidermisIt appears red without blisters with dry textureWith sensation of pain is presentHealing time within 5 - 10 days and heals well with no complications.Superficial partial thickness burn/Deep partial thickness burn or Second-degree burnIt extends to the dermis. (papillary for superficial, reticular for deep)Blanches with pressure, with or without blistering, red to yellow, white appearance, moist to dry textureIt still presents with pain, superficial and deep.Healing may take 2-3 weeks for superficial, 3-8 weeks for deep. Local infection may occur and scarring may ensue.Full thickness burn (Third-degree)Destroys the entire dermis.Stiff with white-brown appearance, NO blanching, with leathery texture.PainlessLong time needed for recovery. It may need surgical removal of dead tissue.Fourth-degree burnEncompasses the whole layer of skin and underlying fat, exposing the bones and/or muscles.Black and charred (eschar), dry texture.PainlessDefinitely needs surgical removal of dead tissue to allow recovery.It may also cause significant functional disability.Wallace “Rule of Nines”

To determine for the burn percentage, we use the Wallace “Rule of Nines” chart. It estimates the percentage of total body surface area (TBSA) that has been destroyed by burns. The diagram attached shows the body divided into multiple sections which represent 9% of the body surface area.

For the example, we have the following given and corresponding percentages:

Entire surface of the right lower limb - 18% (the whole right leg is affected, front and back, so that's 18%)Entire surface of right trunk - 9% (The trunk is 18% in whole, but in this example, only the right trunk is affected, so that's 9%)Anterior surface of the right upper limb - 4.5% (Only the front surface of the right arm is affected so it's 4.5%)

% TSBA = 18 + 9 + 4.5

% TSBA = 31.5 %
Following A Burn, Charring And Insensitivity To Pain Was Found Over The Entire Surface Of The Right Lower
Answer 2

Final answer:

The burn affected 31.5% of the TBSA and it can be classified as a fourth-degree burn due to the charring and loss of pain sensitivity, indicating damage to skin, muscle, and bone.

Explanation:

The calculation of the percent of the body surface area (TBSA) affected by burns is a crucial aspect of medical assessment and treatment. Using the rule of nines, we can ascertain that the right lower limb accounts for 18% of TBSA, the right trunk for another 9%, and the anterior surface of the right upper limb for 4.5%. Therefore, the total percent of the body surface area with burns would be 31.5%. As for the burn classification, the presence of charring and insensitivity to pain over these areas indicates that it is likely a fourth-degree burn, which affect full thickness of the skin, underlying muscle, and bone, and require specialized medical treatment including debridement, skin grafting, or even amputation in severe cases.


Related Questions

A man reports to the emergency department with nausea and vomiting. He has a fever and his pulse and blood pressure are elevated. After some tests, it is determined that he has a stomach virus. Which of the following is his prognosis?
(A) Rest and drink plenty of fluids
(B) A viral infection
(C) You will be fine in few days
(D) Nausea, vomiting and faver.

Answers

C. You will be fine in a few days
Final answer:

Prognosis refers to the predicted outcome of a disease. In the context of a stomach virus, the prognosis typically involves recovery after a few days of proper rest and care.

Explanation:

The correct answer to your question about prognosis is (C) You will be fine in a few days. A prognosis is a forecast or predicted outcome of a disease based on the observable signs, symptoms, and test results. In this case, the man is diagnosed with a stomach virus, which usually resolves within a few days given proper care and rest. Therefore, the prognosis is that the man will generally recover in a few days.

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What's the difference between blocked and partially blocked choking? How do you care for each?

Answers

Answer:

A healthy human heart beats at about 60 to 100 times a minute. A heartbeat is one contraction of the heart muscles, which pushes blood around the body.

Normally, every heart muscle contraction is controlled by electrical signals that travel from the atria, or the upper chambers of the heart, to the ventricles, or the lower chambers.

A partial heart block happens when the electrical impulses are delayed or stopped, preventing the heart from beating regularly.

A complete heart block is when the electrical signals stop completely. The heartbeat will drop to about 40 times per minute.

Even changes to impulses that last only a fraction of a second can cause heart block.

Sometimes, a heart block makes it difficult for the heart to pump blood properly through the circulatory system, so the muscles and organs, including the brain, do not get enough oxygen to function properly.

Heart block typically causes lightheadedness, fainting, and palpitations. Depending on the severity of the heart block, this can be dangerous. For example, a third-degree heart block can worsen pre-existing conditions, such as heart failure. It can cause loss of consciousness and even sudden cardiac arrest. There can also be chest pain.

The care depends on the complications and where is the affected area.Starting from a pace maker to electrical impulses the strategy shall work on the complications and the area affected.The focus is always on providing relief to the patients first.

Explanation:

Committed time includes time needed for all of the following EXCEPT:
A. maintaining a home
B. raising a family
C. playing sports
D. attending school

Answers

Answer:

C.

Explanation:

Answer:

C

Explanation:

What's this on my nose? Been on for more than 5+ years. Please help me out if you can identify it! It is definitely not a "small mark" or "birthmark"

Answers

Have you tried talking a doctor. They can give you the most Reliable answer.

Nursing should not ‘borrow’ theories from other disciplines."" Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.

Answers

Answer:

Nursing is both a science and an art. Its purpose is to provide care, to improve the health of individuals and also of populations, both through the practice of interventions and its art in general, and also through the acquirement of knowledge that backs those interventions. Although Nursing has now developed its own scientific basis, it cannot be denied that a lot of those scientific principles have been born from the acquirement of knowledge from other sciences, and disciplines.

Nursing is not a field of healthcare that can stand on its own. First, a lot of its knowledge has been acquired from sciences such as biology, chemistry, and most of all, medicine. Borrowing from these fields does not demerit the fact that today Nursing has its own scientific knowledge, developed from Nursing practice and from experience and application of scientific principles. But this would not have been possible without borrowing from other fields of study, and especially, those related to healthcare.

An example of this is the appliance of Nursing procedures, like position changes, counseling in different health topics, or the administration of pharmaceutical products. These processes, which are part of a nurse´s activities, first developed from the knowledge that nurses acquired while also sharing the practice of other professionals, and through coming in contact with the knowledge produced by other fields of study. Now, after years of applying this borrowed knowledge, Nursing has made it its own, and theories of Nursing are now independent, but they also still interrelate with other fields of study. It is called teamwork, and its purpose is to benefit a patient.

So, essentially, I think that it is wrong to think that Nursing should not borrow theories from other disciplines. Healthcare professionals work as a team, and there are a lot of grounds on which each discipline meets and they can all benefit from "borrowing" knowledge and practice from one another.

Refuting the statement Nursing should not borrow theories from other disciplines, one can argue that interdisciplinary collaboration and the adoption of theories from other fields can significantly enhance nursing practice.

Specific examples from current nursing practice that illustrate the benefits of borrowing theories include the application of Maslow's Hierarchy of Needs from psychology to prioritize patient care needs, and the use of the Systems Theory from sociology to understand the complex interactions within healthcare systems.

The importance of increased nursing collaboration with other disciplines lies in the ability to provide comprehensive care that addresses the multifaceted nature of health.

By integrating theories from psychology, sociology, education, and other fields, nursing can adopt a more holistic approach to patient care.

For instance, employing Bandura's Social Learning Theory from psychology can improve patient education strategies, leading to better self-management of chronic diseases. Similarly, applying principles .

 Collaboration also fosters innovation and the development of new nursing theories that are informed by a broad range of perspectives. This interdisciplinary approach can lead to more effective nursing interventions, improved health outcomes, and a stronger foundation for evidence-based practice.

 In summary, the integration of theories from other disciplines into nursing practice is not only beneficial but necessary for the evolution of the profession. It allows nursing to adapt to the changing healthcare landscape and to provide care that is informed, innovative, and patient-centered.

Which one of the following stretching exercises is potentially harmful and should be avoided?


a. Lying hamstring stretch

b. Standing toe touch

c. Half-knee bend

d. Modified hurdler stretch

Answers

C. Half-knee bend,
Ex: Knee could pop out of place

Answer:

i think its standing toe touch.

Explanation:

Standing toe touch exercise is potentially harmful and should be avoided.

Epidurals, often used in hospital births to manage pain during childbirth, have been shown to _____.A)help prevent unnecessary c-sectionsB)encourage breast-feeding from the beginningC)decrease the newborn's readiness to suckD)induce labor

Answers

Answer:

D) Induce labor

Explanation:

If she doesn't feel anything then, she will be more ready to push sooner than if she didn't have them

A children’s pain relief elixir contains 80. mg acetaminophen per 0.50 teaspoon. The dosage recommended for a child who weighs between 24 and 35 lb is 1.5 teaspoons. What is the range of acetaminophen doses, expressed in mg acetaminophen/kg body weight, for children who weigh between 24 and 35 lb

Answers

Answer:

 22 mg/kg to 15.1 mg/kg

Explanation:

Given data:

Total acetaminophen for child is  1.5 teaspoon

which is equal to[tex] =  (80\times 3) = 240 mg[/tex] as 80 miligram acetaminophen is taken per  0.5 teaspoon.

Therefore, acceptable range given as

240 mg per 24 lb -  240 mg per 35 lb

or 10 mg per lb -  6.86 mg per lb

As we know that 1 kg = 2.20 lb

[tex]= 2.20 \times (10 to 6.86)[/tex]

=  22 mg/kg to 15.1 mg/kg

Digestive problems can occur at nearly any point in the digestive process. Some problems are minor, like occasional heartburn, indigestion, or constipation. However, other problems like ulcers or cancer can be very serious. Medical treatment may also be required if a minor problem occurs persistently. Fortunately, there are also many dietary approaches that can help manage many digestive disorders. One condition that can be managed through diet is celiac disease, a serious autoimmune disease that causes damage to the small intestines when gluten is consumed.

Select all the sentences below that correctly describe the proper identification and treatment of celiac disease.

Select all that apply.

View Available Hint(s)

Select all that apply.

1. People with celiac disease should include foods with dietary fiber such as beans, fruits, vegetables, brown rice, and quinoa.
2. In adults diagnosed with celiac disease, full recovery typically occurs within 3 to 6 months.
3. For people with celiac disease, ingesting small amounts of gluten is okay occasionally as long as doing so does not produce severe symptoms.
4. If a person feels better after trying a gluten-free diet, further testing is not necessary.
5. Home-cooked meals are a good way to increase variety and reduce the cost of a gluten-free diet.

Answers

Final answer:

Proper identification and treatment of celiac disease involve including dietary fiber, avoiding gluten consumption, and undergoing further testing if a gluten-free diet provides relief.

Explanation:

Proper identification and treatment of celiac disease involve certain guidelines:

People with celiac disease should include foods with dietary fiber such as beans, fruits, vegetables, brown rice, and quinoa. These foods can provide nutrients and aid in regulating the digestive system.For people with celiac disease, ingesting small amounts of gluten is not recommended, even occasionally. Consumption of gluten can cause damage to the small intestines, even if it does not produce severe symptoms.If a person feels better after trying a gluten-free diet, further testing is still necessary. A gluten-free diet can alleviate symptoms, but it does not confirm the diagnosis of celiac disease. Further testing, such as serological tests and biopsy, is required for definitive diagnosis.

Additionally, home-cooked meals can be a good way to increase variety and reduce the cost of a gluten-free diet.

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The correct options that describe the proper identification and treatment of celiac disease are:  1. People with celiac disease should include foods with dietary fiber such as beans, fruits, vegetables, brown rice, and quinoa.

5. Home-cooked meals are a good way to increase variety and reduce the cost of a gluten-free diet.

 1. This statement is correct because a gluten-free diet that is rich in dietary fiber can help manage celiac disease. Dietary fiber is important for overall digestive health and can be found in foods like beans, fruits, vegetables, brown rice, and quinoa, which are naturally gluten-free. Including these foods can help maintain a healthy and balanced diet while avoiding gluten.

2. This statement is incorrect. While many people with celiac disease do start to feel better within a few weeks of eliminating gluten from their diet, full recovery of the small intestine can take several months to a few years, depending on the individual and the severity of their condition. The healing process can be longer than 3 to 6 months, especially if the villi in the small intestine have been significantly damaged.

 3. This statement is incorrect. People with celiac disease must strictly avoid gluten, as even small amounts can cause damage to the small intestine, regardless of whether or not symptoms are present. There is no safe level of gluten consumption for individuals with celiac disease.

 4. This statement is incorrect. While symptom improvement on a gluten-free diet can be indicative of celiac disease, it is not a definitive diagnosis. It is important to undergo proper medical testing, such as blood tests and a biopsy of the small intestine, to confirm a diagnosis of celiac disease before starting a gluten-free diet. This ensures that other conditions are ruled out and that the dietary changes are necessary.

5. This statement is correct because preparing meals at home allows individuals with celiac disease to have complete control over the ingredients used, ensuring that the food is gluten-free. It also tends to be more cost-effective than purchasing pre-made gluten-free products, which can be expensive. Additionally, home-cooked meals can be tailored to individual tastes and nutritional needs, which is important for managing celiac disease.

rin’s softball team has five weekend tournaments that are out-of-state and will require long-distance travel. The team will travel by bus for most of these trips, leaving Friday at noon and returning Sunday around 10:00 PM.Question: Provide a detailed list of the foods and/or beverages Erin should bring with her on these trips, and describe next to each option why you are suggesting it.

Answers

Answer:

For lunch a grain salad with vegetables and toasted seeds. A cup with beans and tortillas with peppers. For dinner, mac and cheese boxed.

Bring in a zipper bag: dry fruits, nuts, dates, and nut butter.

For mornings, instant coffee with boiling water.

Also, we must not forget to bring bananas, watermelon pre cutted.

Erin should bring a bottle with 1 liter of water each day of the trip.

Explanation :

Sources:

Nancy Clark's Sports Nutrition Guidebook

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