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Create at least 2 nursing care plans using ADPIE format (Assessment, Diagnosis, Planning, Intervention, Rationale, Evaluation) based on your assessment that needs to be prioritized.

Create at least 2 nursing care plans using ADPIE format (Assessment, Diagnosis, Planning, Intervention, Rationale, Evaluation) based on your assessment that needs to be prioritized.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Create at least 2 nursing care plans using ADPIE format (Assessment, Diagnosis, Planning, Intervention, Rationale, Evaluation) based on your assessment that needs to be prioritized. 

CASE SCENARIO: The Boy Scout Russel is a 14-year-old who fueled a fire in burning wood during camping and was hurt by a subsequent explosion. He was transported by helicopter to the local burn ICU (BICU). He sustained thermal burns. Abe's burns included bilateral full-thickness circumferential burns to both his legs and feet, arms and hands, genitalia, and deep partial-thickness burns to his head, neck, and anterior trunk. Before Russel's arrival to the BICU, the flight team stabilized Abe by initiating cervical spine precautions, endotracheally intubating him, and providing fluid resuscitation and sedation and analgesia via two large-bore peripheral venous catheters with I.V. propofol at 300 mcg/kg/min and morphine 0.1 mg/kg every five to 10 minutes. Once Russel was admitted to the BICU, a right brachial arterial line was placed along with a right internal jugular central venous catheter. Initial I.V. fluid resuscitation was calculated based on Abe's weight of 79 Įb; a urinary catheter was placed, and a tetanus injection was administered. The morphine drip was discontinued, an I.V. ketamine drip at 2 mcg/kg/min was started, and wound care began. Upon reassessment, the nursing staff noted that Russel's pedal and radial pulses were absent bilaterally, and emergent bilateral upper and lower extremity escharotomies were performed. At this point of care, Russel's clinical status was critical but stable.
Transcribed Image Text:CASE SCENARIO: The Boy Scout Russel is a 14-year-old who fueled a fire in burning wood during camping and was hurt by a subsequent explosion. He was transported by helicopter to the local burn ICU (BICU). He sustained thermal burns. Abe's burns included bilateral full-thickness circumferential burns to both his legs and feet, arms and hands, genitalia, and deep partial-thickness burns to his head, neck, and anterior trunk. Before Russel's arrival to the BICU, the flight team stabilized Abe by initiating cervical spine precautions, endotracheally intubating him, and providing fluid resuscitation and sedation and analgesia via two large-bore peripheral venous catheters with I.V. propofol at 300 mcg/kg/min and morphine 0.1 mg/kg every five to 10 minutes. Once Russel was admitted to the BICU, a right brachial arterial line was placed along with a right internal jugular central venous catheter. Initial I.V. fluid resuscitation was calculated based on Abe's weight of 79 Įb; a urinary catheter was placed, and a tetanus injection was administered. The morphine drip was discontinued, an I.V. ketamine drip at 2 mcg/kg/min was started, and wound care began. Upon reassessment, the nursing staff noted that Russel's pedal and radial pulses were absent bilaterally, and emergent bilateral upper and lower extremity escharotomies were performed. At this point of care, Russel's clinical status was critical but stable.
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