17. A nurse is working the emergency department in a large m…
17. A nurse is working the emergency department in a large metropolitan hospital. An emergency response team calls in that they are bringing a 24-year-old female rescued from a housefire. She is one of four victims that were burned in the fire. Two of the victims were transferred to the nearest burn facility and the third victim expired. The patient is awake and alert with oxygen @ 2 liters/nasal canula. She is upset that no one has told her the status of the rest of her family. Vital signs: blood pressure-94/50 mm Hg, pulse-110 bpm, respirations- 34, oxygen saturation 94%. The patient’s weight is 57 kilograms and total body surface area (TBSA) of the burns is 65%. Number the following actions in the order they should be performed in the emergent phase of this burn patient. 1. Assess for other injuries. 2. Establish 2 large gauge intravenous lines. 3. Assess and maintain airway. 4. Calculate the Parkland formula for fluid resuscitation. 5. Calculate TBSA. 6. Medicate for pain. 7. Contact other family or support person. 8. Provide emotional support and reassurance.