Overview
Learning Objectives
By the end of this lesson you will be able to: Classify a burn by depth (superficial, superficial partial thickness, deep partial thickness, full thickness) from appearance, bla...
NCLEX-RN
NCLEX-RN
By the end of this lesson you will be able to: - Classify a burn by depth (superficial, superficial partial-thickness, deep partial-thickness, full-thickness) from appearance, blanching and sensation, and explain why depth can change over the first days. - Estimate total body surface area (TBSA) with the rule of nines, the Lund-Browder chart and the palm method, count only the burns that belong in the estimate, and state which tool suits an adult, a child and a scattered burn. - Apply the Canadian burn centre consultation criteria and name the patients who need immediate consultation with consideration for transfer. - Recognize inhalation injury, carbon monoxide and cyanide toxicity, circumferential burns and compartment syndrome, and electrical and chemical injury, and state the first RN action, who is notified and how fast. - Calculate a starting fluid rate for an adult and a child, explain why it is only a starting estimate, and titrate it to hourly urine output. - Teach the patient and family, and reason through three worked scenarios.
Educational use only. These estimates are not fluid or medication orders. Resuscitation is titrated to urine output, perfusion and clinical response under your local burn protocol and the direction of the burn team.
Most sources here are American Burn Association (ABA) guidance. Canadian provincial burn programs set their own protocols and referral pathways (for example, the BC provincial major-burns guideline published in BCMJ in 2012 used 3 mL/kg/%TBSA). Follow your local pathway.
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