Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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§Maximum bleeding is seen in :
§
§Lacerated wound
§Incised wound.
§Abrasion
§Bruise
Burns exceeding 20% of the TBSA in most adults are considered to be major burn injuries. With a major
burn injury, a systematic pathophysiologic response that ensues requires therapeutic intervention to
sustain life. The most reliable criterion for adequate resuscitation of burn shock is:
1. Urine output
2. Blood pressure
3. Pulmonary status
4. Cortisol levels
Pathophysiology Inflammation and Healing
An adult male slipped while removing a very large pot of boiling cooking oil off the stove,
resulting in mild to very severe burns to his face, anterior chest, anterior right arm and loweranterior half of his right leg. (Required 1 reference and 1 citation)1. Describe the likely appearance of the burn injury in this case and include whatclassification or classifications would be involved. (Support your answer with six possible outcomes)
2. Using the ‘rule of nines,’ determine the approximate body surface area (BSA) of thisburn injury. Indicate how you arrived at this BSA. (Support your answer with five possible outcomes)
3. What type of treatment measures would be appropriate in this case? (Support your answer with five possible outcomes)
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- Directions: Prepare the following strength solutions: 360 mL of 1/4 strength Ensure tube feeding through a percutaneous endoscopic (PEG) tube over 4 hours. The nurse would add mL of water to mL of tube feeding to get 360 mL of 1/4 strength tube feeding.arrow_forwardMrs. Rosatti is 83. This morning, she twisted her ankle going to the bathroom. The nurse instructs you to apply an ice bag to the area.1. How will you prepare the ice bag? Why is it important to remove excess air? 2. How would you protect the skin from injury? Why is this important? 3. How will you secure the ice bag in place? 4. How often should you check the area? What signs and symptoms would you observe for? What response would cause you to remove the bag?5. What would you tell Mrs. Rosatti when she asks why the ice must be removed after 20 minutes?arrow_forwardThe wound healing response involves all the following EXCEPT (choose the most incorrect answer): Initial blood clot formation is mediated by thrombin resulting in platelet aggregation and fibrin clots. Collagen deposition by vascular endothelial cells is critical in increasing the tensile strength of repaired wounds to approximately 100%. Angiogenesis involves the response of endothelial cells to growth factors such as vascular endothelial growth factor (VEGF) Activated fibroblasts produce collagen and fibronectin increasing the tensile strength of wounds Migration of fibroblasts in response to growth factors is an important component of the proliferation phasearrow_forward
- An adult client is admitted to the emergency department after a burn injury. The burn initially affected the upper half of the client's anterior torso, and there were circumferential burns to the both arms. The client's clothes caught on fire, and the client ran causing burn injuries to the entire face (anterior half of the head), and the upper half of the posterior torso. Using the rule of nines, the extent of the burn injury would be what percent? Type in your answer. [ RULE OF 9'S ] 4.5% 4.5% 9% 9% 9% 18% 9% (1% 18% F 9% 9% 18% B 9%'9% MacRool 4.5% 4.5% 4% 14% 4.5% 4.5%arrow_forwardIn patients with severe burns, one of the primary risks during the initial phase of treatment is ________ shock.arrow_forwardCalculate the total body surface area burned using the Rule of Nine for the given patient. A 25-year-old female patient has sustained burns to the back of her left arm, posterior trunk, front of the left leg, anterior head and neck, and perineum.arrow_forward
- You are making a home care visit to a 75-year-old male with diabetes. On assessment, you have concerns about the skin integrity of the patient’s feet. Describe in detail what you would tell this patient so they would understand the reason for your concern.arrow_forwardAssuming Craig has sustained third degree burns, which of the following treatment options is most likely and most effective? O Burn cream and bandages O Aloe to control pain and rinsing area daily with purified water Antibiotic and antiviral oral medication O Debriding and skin grafting insrt sr 过arrow_forwardOn the histological picture below, uncolored (white) areas correspond to: Fibrotic scars Technical defects in staining Inflamed zones Enzyme containing vesicles Holes at the places where stored fat droplets were locatedarrow_forward
- Using the "Rule of Nines", calculate the percentage of the total body surface affected if skin over the following body parts are burned: entire lower right limb (anterior and posterior)arrow_forwardMatch the terms and definitions.arrow_forwardName and describe the pigments in the skin. Which pigment is more protective against ultraviolet radiation? TTT Arial v 3 (12pt) v T-= -arrow_forward
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