Question

- 1 Burn Careplan

Answer 1

Implementation bralell o Assessment Nursing. Diagnotis 1. Planne Rational Subjective for effective • Hand washing •This reduces the . Hand washing is oPatient Data :- care coay to be done chanen? done condition - Patient occureng 1 A spectic technique clearance Aseptic technique is better | Is domaitained than said I is to be maintained infection. I am related to Having difficulty increasing •vital signs are This helps to This helps to evital signs are before checked T=96.2°F now in breathing." the is to be checked. . Respiration ong congestion condition & P-140, R-40, BP-95/60 - 30 secondary uital orgonz T. ABG examinati • ABG is checked - breats orin. Data objective to smoke is to be done. to smoke the patient. Ipn-7.4, poz - Gomong, spo₂-91%. - spo2<85% linhalation, pco2.30 malg bicar - Deist tree emuron • This reduces patient is bonab226q/L. restles ment is to be the chance & environment allergic reacting Geist free maintained. - Respiration is maintained.. -40 . 1. Comprotable position Provides compr • Semifowler position inspitoakry & is to be given to the patient is given, expiratory wheezing • Seygen administra •Improves the .40% humidified is to be done. spol. oxygen is provided. - sooty sputum production • Teslam and quite Prowidos •Clam& quit enviroment is maintains patient environment is to be provided comfort. •Bronchodialatorie Improves Bronchodialators & mucolytic agents respiratory mucalytic agents are to be gehen. system. are ginen

7 Norm So. Assessment diagnosis - Plaming Rational 1 Implemention Evaluation e batal- Acute pair • General examina •Provides infos General exami at -related to tion & the Patient patient mations regarding nations of said the tissue domae is to be done. patients condition patient is done. care org secondary to o Coolennironment Provides severe pain, ent.cool enviroment pain scare is born ing way is to be provided. comfort to patient, a is boming sensat provided. 6/10, asenidenced Analgesic medica • Reduces the • Analgesic medica to patient is objective Data's by pain tion is to be pain. Han is giren. score assessment given. • Painscare comfortable osihernitrate 1. Imporen then before anitment is geren. ointment is to be healing.. ginen. genertional therapy • Divertional therapy Helps in is reducing is to be giren. giren. pain. feeling restlenrem, color nebrale 1. Restlen ness ham Hg patients 3.subjective Data fluid roleeme Vital signs the pt .Provido general • vital sigmare . is to be deficit patient said checked Porpromating pt. checked Bp. 98/60 care Irelated to a My tongue is hal • Hare to arm's in • Helps in | •Assisted in large- becoming dry tuid loss large-bore contral line inturrian. Urine output bore central line ! objective data - seondary to catheta insertion catheterization somL/h. • A septic techniqe burn ingura • Aseptic technique is • Refacachana croine colour is maintained. infection. as evidenced to be maintained. a 2 concentratia • Len turgan RL is to be given. maintain theid •RL is by dry tongue, given.. is better volume less turgon, a close monitoring output. cen urine Helps in early • Close monitorin/ output. is to be done. d'agnonis & is done. complecation. • less wrine 1. than before