I have a case study for pathophysiology.  My class is all online,…

I have a case study for pathophysiology.  My class is all online, so no teacher instruction.  The information about it is below with the questions the instructor wants me to answer.  Is there a tutor that could help me better understand how to calculate the rule of 9?  This isn’t due until 5/11, so I have time to learn more about it.  I looked at a video about the rule of 9, but I am not sure that video is complementary because the diagram is different and breaks out anterior and posterior separately.  I included the entire case study, but I am stuck on the first question.

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Thank you kindly,

Glenda

 

Mr. Eisner, age 43, sustained severe burns while welding a gasoline tank that he had removed from a truck. He had full-thickness burns on his face and bald head and on both of his arms and hands – as well as a mixture of superficial and deep partial-thickness burns on his anterior trunk. His genital area, lower extremities, and posterior trunk were not burned. 

After assessment and emergency stabilization, Mr. Eisner was transported to a regional burn center for care.

 

  1. Using the rule of nines (see diagram), calculate Mr. Eisner’s approximate percentage of total body surface area that was burned. JUSTIFY YOUR ANSWER.
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Image transcription text

9% 9% 9% 4.5% 9% 9% 1% 9% 9% 9 9%

 

  1. Should blisters be expected to appear on Mr. Eisner’s bald head?  Why or why not?

 

 

  1.  Which of Mr. Eisner’s burns is likely to cause him the most pain?  Why?

 

 

  1.  Why is Mr. Eisner at high risk for hypovolemia?

 

 

  1.  If he develops hypovolemia, should he be expected to have concurrent edema?  Explain and justify your answer, please.

 

 

  1.  Which burn areas have the greatest risk for scarring?   Why?

 

 

 

  1.  If he survives, will Mr. Eisner need any skin grafts?  Please provide the rationale(s) for your answer.

 

 

 

  1.  “My husband is in the Intensive Care Unit, and they said something about him being in shock,” said Mrs. Eisner. Detail how you would educate Mrs. Eisner about shock.

 

 

  1.  Mr. Eisner’s son is demanding an explanation of how, and if,  partial-thickness burns differ from second degree burns. How would you explain this to him?

 

  1.  Please name three additional complications (not already discussed) that Mr. Eisner might suffer as a result of these multiple burns, and please state how these complications are related to the burns 
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