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Thus, the infusion rate at this point is 5.4mg/kg body wt. that will be infused for 23 hours. With a
total infusion of methylprednisolone for 24 hours only, then discontinue the infusion.
Case #2 Burn
Mr. Bowman is a 32-year-old white man who has sustained a 58% TBSA burn as a
result of an indoor explosion in a sawmill where he is employed. Mr. Bowman is well
nourished, slender man at 72 kilograms, and relatively healthy until this event. He
does not smoke, but reports drinking a case of beer a week for the last 5 years. He
has never been seriously ill or had any operations. Mr. Bowman is married and the
father of two children. His family history indicates no hypertension; diabetes; or
heart, lung, or kidney disease.
Mr Bowman was airlifted to the regional burn trauma center about four hours after
the explosion. On admission to the burn unit, initial assessment revealed that he
had received 58% TBSA burn. He was observed to have full thickness burns on his
face, both arms (circumferential), the dorsal surfaces of both hands, and the
posterior surfaces of both thighs. These full thickness burns account for 40% of the
TBSA. The remaining 18% of the TBSA burned demonstrates partial thickness burns.
These include the posterior head and neck, the buttocks, and the palms, and the
anterior areas of his thighs.
Using the Baxter Parkland formula, Compute for the fluid resuscitation for Mr.
Bowman.
Bibliography
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010). Nursing Care Plans:
Guidelines for individualizing Client Care across the Life Span (8th Edition
ed.). Philadelphia: F.A Davis Company.
H, H., DE, C., MF, D., DH, F., RJ, F., DM, I., et al. (2002, August 29). High-dose
methylprednisolone for acute closed spinal cord injury--only a treatment
option. Canadian Journal of Neurological Sciences, pp. 227-235.
Hughes, R. (2003, December 16). The management of patients with spinal cord
injury. Retrieved from www.nursingtimes.net:
http://www.nursingtimes.net/nursing-practice/clinical-zones/painmanagement/the-management-of-patients-with-spinal-cordinjury/205151.article