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Multiple Choice
Which of the following fluid or electrolyte changes occur in the emergent/resuscitative phase of burn management?
A
Hypercalcemia
B
Hyponatremia
C
Hypocalcemia
D
Hyperkalemia
Verified step by step guidance
1
Understand the emergent/resuscitative phase of burn management: This phase occurs immediately after the burn injury and focuses on stabilizing the patient and preventing further complications. Fluid and electrolyte imbalances are common during this phase due to the body's response to the injury.
Recognize the common electrolyte imbalances in burn patients: Burns can cause significant shifts in electrolytes due to fluid loss, tissue damage, and the body's stress response. Key electrolytes to consider include sodium (Na+), potassium (K+), calcium (Ca2+), and others.
Identify the cause of hyperkalemia in burn patients: Hyperkalemia, or elevated potassium levels, can occur due to cell damage from burns. When cells are damaged, potassium is released into the bloodstream, leading to increased levels.
Differentiate hyperkalemia from other electrolyte imbalances: While hyperkalemia is common in the emergent phase, other imbalances such as hyponatremia (low sodium) and hypocalcemia (low calcium) can also occur but are not the primary concern in this phase.
Consider the physiological implications: Elevated potassium levels can affect heart function and muscle contractions, making it crucial to monitor and manage hyperkalemia during the resuscitative phase of burn treatment.