Nursing Experience of Appling Goal-Directed Fluid Resuscitation for a Patient with Major Burns
邵佳慧(Chia-Hui Shao)；楊嘉禎(Chia-Chen Yang)
重度燒傷 ； 輸液復甦 ； 目標導向治療 ； major burn ； fluid resuscitation ； goal-directed therapy
|Volume or Term/Year and Month of Publication||
22卷1期（2021 / 03 / 01）
99 - 113
This article describes a male who suffered from 2-3 degree burn on 25% body surface area in a work accident. From May 25th to June 20th, 2017, during his hospitalization, the author identified the health problems using Gordon's functional health assessment tool. The health problems include fluid volume deficit, acute pain, impaired skin integrity, and body image disturbance. Fluid resuscitation is a renewing topic and critical to patients suffered from the major burn. Meanwhile, there are issues caused by burn wounds like pain and infection control, body image disturbance due to appearance change. The author monitored the physiological condition and used a goal-directed fluid resuscitation protocol, and gave proper fluid volume to avoid complications while providing enough tissue perfusion. By strategy of pain control, alleviated the patient's fear and then made him actively participate in the process of change dressing. Moreover, the author offered wound care education and home-care cautions to the patient and carried out infection control procedures to prevent potential infection. With caring, accompany, support and listening, giving instructions and encouragement to help the patient to face the change in body image and finally be discharged smoothly. By this article, the author hopes to share the care experience for better knowledge and care quality in the future.
醫藥衛生 > 社會醫學