Identify the age-related changes that increase morbidity and mortality and complications in the older adult with a burn injury.

An older adult woman arrives in the ED at 11:00 AM. According to her family, she was cooking and accidentally spilled a pot of boiling liquids while trying to move the pan from the stove to the table. She sustained severe burns on her arms, anterior trunk, and legs. The injury occurred at 9:00 AM. but she was home alone and tried to administer first aid before notifying her family. She weighs 70 kg, and the burns are estimated at 50% TBSA.

1. Identify the age-related changes that increase morbidity and mortality and complications in the older adult with a burn injury.

2. Identify information that should be included in a history.

3. Why is it important to evaluate the size and extent of the burn?

4. What time does the first 8-hour period end?

5. How much fluid is required for the 24 hours?

6. Hourly urine output is adjusted to mL/kg.

7. Tissue destruction caused by a burn injury causes local and systemic problems. Identify six of these potential problems.

8. Early detection of wound infection is important. The wound should be examined for which six signs of infection? 9. Identify priority problems for patients with burn injuries in the resuscitation phase who have sustained a burn injury greater than 25% TBSA.

 

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