Question

CASE STUDY 8.1 Jenny, a 19-year-old college student, was injured in a fire resulting from a car accident. She experienced ull-thickness burns over approximately 10% of her body. Consider the clinical model that is most re- lated to this process. From your reading related to fluid, electrolyte, and acid-base balance, answer the following questions: 1. What anatomic problem would most likely lead to fluid shifts because of burn injury? 2. What is the cause of fluid shifts in burn injury? How would you manage fluid shifts in burn injury? 4. Whatwould you expect for clinical manifestations? 5. What diagnostic tests might be used? Log onto the Internet. Search for a relevant journal article or Web site that details fluid resuscitation af- ter burn injury, to confirm your predictions.

Answer 1

1)The anatomical problem with the integumentary system are affected.It affects the cells causing fluid shift from blood vessel to the tissues of burn injured area

2)The inflammatory mediator has a direct effect on endothelial and smooth muscle which leads to extravasation of fluid from intravascular compartment to extravascular compartment ,sodium gets released from cell,potassium gets into cells resulting in edema ,multi organ failure because of negative interstitial fluid pressure and increasing microvaascular permeability

3)Administration of IV fluid is very important in burns injuries and meet the fluid shift

4)The clinical manifestation are as following

• Pain when it is 1st or 2nd degree
• painless or numm when nerves are affected
• fluid loss
• dehydration
• Blister
• peeling skin
• Shock
• white skin