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Answer :
Utilizing the Parkland formula in burn care expands the nursing role by requiring comprehensive assessment, accurate fluid calculation, continuous monitoring, interdisciplinary collaboration, patient education, and critical decision-making.
Here is how this expands the nursing role:
Comprehensive Assessment: Nurses must perform a thorough assessment of the patient's condition to accurately apply the Parkland formula. This includes evaluating the extent and depth of burns, which requires knowledge and skill in burn assessment techniques.
Calculation of Fluid Needs: The Parkland formula helps calculate fluid resuscitation needs based on the patient's weight and the total body surface area (TBSA) affected by burns.
Half of this calculated volume is administered in the first 8 hours, and the remaining is given over the subsequent 16 hours.
Monitoring and Adjustment: Nurses need to continuously monitor the patient's vital signs, urine output, and other clinical indicators to ensure that the fluid resuscitation is effective. Adjustments may be necessary based on ongoing assessments.
Interdisciplinary Collaboration: Fluid resuscitation involves working closely with other healthcare providers, including doctors and specialists. Nurses play a key role in communicating patient status and ensuring that resuscitation protocols are followed.
Patient Education and Support: Nurses also provide education to patients and their families about the importance of fluid management and what to expect during the recovery process.
Critical Thinking and Decision Making: The application of the Parkland formula requires nurses to use critical thinking and decision-making skills. They must interpret data and assess the patient's response to treatment promptly and accurately.
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