What is the priority nursing action for managing a burn with an established airway?

In the management of a burn patient with an established airway, administering supplemental oxygen is a critical nursing action. This is because burns, especially those that involve inhalation injuries or occur in enclosed spaces, can lead to airway edema and compromise oxygenation despite the presence of an adequate airway. Supplemental oxygen helps to ensure that the patient receives sufficient oxygen to meet their metabolic needs, particularly in cases where carbon monoxide inhalation is a concern or during the initial treatment phase after a burn injury.

This intervention is vital for maintaining adequate tissue oxygenation and preventing hypoxia, which is essential for the healing process and overall recovery. The delivery of supplemental oxygen can quickly improve oxygen saturation levels and provide support to the respiratory system, especially in patients who might be at risk for respiratory complications due to their injuries.

While administering intravenous fluids is also very important for fluid resuscitation in burn patients to prevent shock, it comes after ensuring that the patient is adequately oxygenated, given the priorities in acute burn management. Assessing pain levels and applying topical ointments are also necessary steps, but they do not address the immediate threat to the patient's oxygenation status in the same way that supplemental oxygen does.