Question

A patient with 55% total body surface area burned received two-thirds of the required fluid resuscitation. For which potential problem should the nurse prepare to provide care to this patient?

1) Increased zone of stasis
2) Increased zone of hyperemia
3) Increased zone of coagulation
4) Decreased zone of coagulation

Answer 1

A patient with severe burns and inadequate fluid resuscitation is at increased risk of circulatory shock, specifically hypovolemic shock, due to the loss of fluids and potential dehydration. Nurses should monitor for signs of shock and treat with intravenous fluids and vasopressor medications as needed.

Step-by-step explanation:

A patient with 55% total body surface area burned who received only two-thirds of the required fluid resuscitation is at risk for several complications due to insufficient fluid replacement. However, given the provided options, the nurse should prepare to provide care for the patient due to an increased risk of circulatory shock.

Circulatory shock occurs when the circulatory system is unable to maintain blood flow to supply sufficient oxygen and nutrients to the tissues, which is critical in maintaining cellular metabolism. In the context of burn patients, who are already at high risk of dehydration and electrolyte imbalances, inadequate fluid resuscitation can exacerbate these problems, potentially leading to hypovolemic shock. The patient may exhibit symptoms such as increased heart rate, decreased blood pressure, reduced urine output, confusion, or loss of consciousness.

Treatment generally involves providing adequate intravenous fluids to restore the patient to normal function, alongside additional supportive measures such as vasopressor medications to maintain blood pressure and prevent the progression of shock.