Base on the case scenario give the

Base on the case scenario give the intervention/management (definition/description) and rationale (rationale should be related to the patient case condition or why patient needed this each management.) **** Interventions given / management (include fluid resuscitation measures) and their rationale relative to the patient’s condition. Intervention/Management: 1. Cervical Spine Precautions – Definition/Description: – Rationale: 2. Endotracheal Intubation – Definition/Description: – Rationale: 3. Fluid Resuscitation, Sedation and Analgesia – Definition/Description: – Rationale: 4. Right brachial arterial line along with a right internal jugular central venous catheter – Definition/Description: – Rationale: 5. I.V. fluid resuscitation calculated based on Patients weight – Definition/Description: – Rationale: 6. Placement of Urinary Catheter – Definition/Description: – Rationale: 7. Administration of tetanus injection – Definition/Description: – Rationale: 8. I.V. ketamine drip at 2 mcg/kg/min – Definition/Description: – Rationale: Case Scenario: Russel is a 14-year-old who fueled a fire in burning wood during camping and was hurt by a subsequent explosion. He was transported by helicopter to the local burn ICU (BICU). He sustained thermal burns. Abe’s burns included bilateral full-thickness circumferential burns to both his legs and feet, arms and hands, genitalia, and deep partial-thickness burns to his head, neck, and anterior trunk. Before Russel’s arrival to the BICU, the flight team stabilized Abe by initiating cervical spine precautions, endotracheally intubating him, and providing fluid resuscitation and sedation and analgesia via two large-bore peripheral venous catheters with I.V. propofol at 300 mcg/kg/min and morphine 0.1 mg/kg every five to 10 minutes. Once Russel was admitted to the BICU, a right brachial arterial line was placed along with a right internal jugular central venous catheter. Initial I.V. fluid resuscitation was calculated based on Abe’s weight of 79 lb; a urinary catheter was placed, and a tetanus injection was administered. The morphine drip was discontinued, an I.V. ketamine drip at 2 mcg/kg/min was started, and wound care Began. Upon reassessment, the nursing staff noted that Russel’s pedal and radial pulses were absent bilaterally, and emergent bilateral upper and lower extremity escharotomies were performed. At this point of care, Russel’s clinical status was critical but stable. SCIENCE HEALTH SCIENCE NURSING 4Y1 NCMB418

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