Fluid Resuscitation Protocols And Interventions Have Established Guidelines For Nursing Care Of Burn Patients

1377 WordsOct 21, 20156 Pages
Fluid Resuscitation in Burn Patients Fluid resuscitation protocols and interventions have established guidelines for nursing care of burn patients in hospital settings. Although these protocols aid the nurse in making treatment decisions, the nurse must first understand the fluid pathophysiology of burns, the different fluid alternatives, the amount of fluid volume infusions allowed and their effects within the patient’s body, as well as, any complications related to fluid resuscitation for burn patients. In addition, fluid resuscitation should be carefully and diligently monitored to ensure the main goal of therapy which is to attain adequate tissue perfusion while minimizing patient’s complications. Understanding the fluid pathophysiology of burns Local and systemic inflammatory response occurs within the body due to fluid shifts from intravascular compartments into the interstitium caused by changes in capillary permeability. The body’s specific response to burns directly correlates with the total body surface (TBSA) percentage affected. Patients with 25% TBSA burns experience an increase in generalized capillary permeability, at 30% TBSA burns patients are affected by a disruption on the cellular ion gradient lasting several days and requiring a longer hospitalization stay, and patients with 50% TBSA burns end up losing half of their fluid resuscitation volume due to increased leaks into the non-thermally injured tissue (Diver). Several studies coincide that the

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