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Pediatric Burn Case Study: Hot Water Injury

Patient JY, a 3-year old male, was admitted to the hospital after falling into a pail of hot water. Upon examination, he had second degree burns covering 8% of his body surface area, including his buttocks, genitalia, and scrotum. Treatment included antibiotics, debridement of burned tissue, silver nitrate dressings, and fluid resuscitation based on his weight and extent of burns. His vital signs and initial lab work were stable. The working diagnosis was second degree burns over 8% of his body.

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42 views12 pages

Pediatric Burn Case Study: Hot Water Injury

Patient JY, a 3-year old male, was admitted to the hospital after falling into a pail of hot water. Upon examination, he had second degree burns covering 8% of his body surface area, including his buttocks, genitalia, and scrotum. Treatment included antibiotics, debridement of burned tissue, silver nitrate dressings, and fluid resuscitation based on his weight and extent of burns. His vital signs and initial lab work were stable. The working diagnosis was second degree burns over 8% of his body.

Uploaded by

Anonymous 0SYzMqje2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd

June 28th 2011

Putri Ingen Setiasih


Ucky Saura
Agrita Eka W

IDENTITY
Patient JY, male, 3 years old, came to AA
hospital on June 28th 2011

CHIEF COMPLAIN:
Fallen down in pail contain hot water.

Present Illness History


Patient fallen down in pail contain hot water

about 1 hour before admitted to the hospital.


Patient was fall to a sitting position.
The hot water, contact with his skin at bottom
and genitalia area.

General condition
Conciousness
Vital sign :

HR
RR
T

: 130 x/i
: 26x/i
: 37,3 C

: severe illness.
: composmentis

Head and neck


Chest
Abdomen
Genitalia
Extremity

:
:
:
:
:

normally
normally
normally
Status Lokalis
normally

Local Status
Genitalia :
ins : Bulae (+), eritema (+), pain (+)
Grade II
at gluteal, perineum, scrotum and genitalia.

Injury Area = 2,5% + 2,5 % + 1 % + 1 % + 1 % = 8 %

Working diagnose
Combutio Grade II about 8 %

Supporting
examination
Rutine Laboratorium
Blood rutin
Hb
: 12,6 gr/dl
WBC
: 13.800/mm3
Trombosit : 235.000/l
Ht
: 37,4 %

Treatment
ATS
Ceftriaxone inj.
Debridement
Nitras argenti 0,5 % compress

Maintenance Fluid
4 ml x KgBB X injury area %
4 x 12Kg x 8 % = 384 cc/24 h
First 8 h = 192 cc
Next 16 h = 192 cc

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