Explain why it is important to increase fluid content in this patient. Support your answer using specific facts, data, examples, and other information drawn from the textbook and at least one other supplemental source.
The patient had suffered severe burns that caused extreme metabolic water loss through the burned skin that increased water loss through hypermetabolism. Massive burns exposes the epidermis and dermis thus making the skin unable to regulate the evaporative water loss which rise up to 75 percent. Lungs also contribute to water loss at a considerable rate of 25 percent. According to Huether and McCance (2017), acute skin burns causes hypervolemia that results from blood loss. The loss leads to increased capillary permeability as a result of decreased blood volume in the body caused by contraction of cardiac vessels which carry blood away from the major organs such as liver, kidney and the gut. Low fluid volume requires intravenous fluid resuscitation with a ringer solution to restore the lost blood. Therefore, it is necessary to add drip water to the patient body to avoid dehydration and burn shock.
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Explain the treatment plan based on your idea of the type of infection. You will need to defend your answer using specific facts, data, and other information drawn from the textbook and at least one other supplemental source.
The baby could be suffering from indirect inguinal hernia, a complication that results from bulging of small intestines on the weak part of abdominal tissue at the groin area. It happens when the lining of the abdomen failed to fully close while the baby was developing in their mother’s womb (Juang et al., 2016). The baby may have suffered an injury at the groin area leading to the problem. It mostly happens in 2 to 3 percent of male babies compared to 1 percent in female children. The treatment is corrected by applying some pressure to fix the intestines back to their normal position or through corrective surgery called laparoscopy. Some stitches can be be applied to strengthen the weak area to avoid recurrence of the same condition.
References
Huether, S., & McCance K. (2017). Understanding Pathophysiology Elsevier (6th ed.). St. Louis, MI: Elsevier.
Juang, D., Fraser, J. D., & Holcomb III, G. W. (2016). The laparoscopic approach for repair of indirect inguinal hernias in infants and children. Translational Pediatrics , 5 (4), 222.
