- Rule of Nines
Vital Signs & Shock
Complications
Lab Detective
Care & Education
100

    • What percentage of TBSA is the entire front of one leg?

9%

100

    • Mr. Travis’s BP is 90/48 and HR is 108. What type of shock is most likely?

Hypovolemic shock

100

Which complication is most concerning with facial burns?

Air obstruction from inhalation injury

100

    • Why might potassium be elevated in the first 24 hours post-burn?

Potassium released from damaged cells

100

    • Name one daily care priority for Mr. Travis.

Infection prevention, pain control, wound care

200

    • Mr. Travis has burns on half of his head/neck, half of his torso, and half of his back. What’s the total %?

22.5%

200

    • Explain why HR increases in burn patients.

Compensatory response to fluid loss


200

    • What is compartment syndrome, and why is it dangerous in circumferential burns?

Increased tissue pressure causes impaired circulation and nerve damage

200

    • What does a high hematocrit indicate in burn patients?

Hemoconcentration from fluid los

200

    • What discharge teaching would you give about contracture prevention?

Range-of-motion exercises, splints, PT/OT

300

    • Why is accurate TBSA calculation critical in the first 24 hours?

Guides fluid resuscitation and predicts outcome

300

    • What is the best bedside indicator that fluid resuscitation is effective?

Urine output of 30-50 mL/hr

300

Which organ systems are most at risk from electrolyte imbalances?

Cardiac, renal, and neuromuscular

300

    • Why is albumin often low after severe burns?

Protein loss through leaky capillaries

300

    • How might body image concerns affect Mr. Travis’s recovery?

May cause depression, anxiety, or social withdrawal—requires support

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