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Rule of Nines for Burns in Adults Nursing NCLEX Lecture w/ Examples

RegisteredNurseRN
2024 ж. 2 Мам.
430 317 Рет қаралды
Жүктеу

The rule of nines for burns in adults is used to calculate the total body surface area of a patient that has suffered from a burn.
The TBSA (total body surface area) percentage helps the medical team determine how severe the burns are (does the patient need to be admitted to a burn unit) and how much fluid replacement will be needed during the first 24 hours.
The percentage of body surface area burned is used in the Parkland Burn Formula to determine the total amount of fluid replacement that will be needed to help prevent hypovolemic shock.
Patients who have 15-25% or more of a BSA that is burned will definitely need fluid replacement.
WHY? After a severe burn (partial-thickness or more) the capillary permeability increases, which leads to the fluid shifting from the intravascular space to the interstitial space. This depletes fluid volume in the intravascular space, leaving the heart with barely anything to pump to the vital organs and tissues. This can lead to death.
Therefore, Lactated Ringers (an isotonic solution) are prescribed to help increase the intravascular compartment.
Rule of Nines Calculations:
Adult:
Head and Neck: 9% (4.5% anterior and posterior)
Right Arm: 9% (4.5% anterior and posterior)
Left Arm: 9% (4.5% anterior and posterior)
Trunk: 36% (18% anterior and posterior)
Perineum: 1%
Right Leg: 18% (9% anterior and posterior)
Left Leg: 18% (9% anterior and posterior)
TOTAL: 100%
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Notes: www.registerednursern.com/rul...
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  • Hello Everyone! Thank you for watching. Don't forget: Rule of Nines Quiz: www.registerednursern.com/rule-nines-nclex-quiz-questions/ Notes: www.registerednursern.com/rule-nines-burns-adult-nclex-review/ Burns Review: kzhead.info/sun/obJvcspleoKMomg/bejne.html More Reviews: kzhead.info/channel/PLQrdx7rRsKfWwTsEG3KPPQx9rWa8AqMIk.html Instagram: instagram.com/registerednursern_com/ Facebook: facebook.com/RegisteredNurseRNs Subscribe: kzhead.info

    @RegisteredNurseRN@RegisteredNurseRN6 жыл бұрын

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      @normatorresortiz7771@normatorresortiz77716 жыл бұрын

    • Hi.

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    @alexandrianicole9947@alexandrianicole99476 жыл бұрын

  • You do a good job explaining fluid leaving Intravascular system. Thx

    @moc6992@moc69924 жыл бұрын

  • Thank you for explaining the rules of nines! I appreciate it!

    @alyssasanchez9803@alyssasanchez9803 Жыл бұрын

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    @kavitak9847@kavitak98475 жыл бұрын

  • As always, Sarah, great video! I showed this to my medical assisting and patient care technician students today in A&P I. (We're covering the integumentary system!) Thanks for all you do!

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    @drivingsouthafrica@drivingsouthafrica6 жыл бұрын

  • I was unable to understand the nine rules of burn in class , but after watching this video I understand very easily. Thanks Mam for uploading such informative video.

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    @yeapeachy4487@yeapeachy448729 күн бұрын

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