BURNS: STAGE 1 –EMERGENT/FLUID LOSS/SHOCK/OLIGURIC PHASE

Intensed Heat

Tissue Trauma K+ is released from the cell Hyperkalemia

Release of Histamine

Vasodilation

Capillary Permeability

Fluids shift from IV

to IT spaces
BP

Edema Formation Hyponatremia Hypovolemia Hct (Hemoconcentration)

CVP ( 6-12 mmHg)

Na+ trapped in
edema
Sluggish blood flow

Cardiac Output Thrombus formation

Pulmonary embolism
Shock Renal Perfusion =ARF Liver Perfusion Liver fxn studies
GIT Perfusion
(Hypovolemic/
Oliguric Shock
Paralytic Ileus Curling’s/Stress
Ulcer
Hourly Urinary BUN Creatinine Hyperkalemia
Output ( 10-21mg/dL) ( 0.7-1.4 mg/dL) Absent bowel sounds
( 30-50 cc/hr)
Ventricular Fibrillation Sudden Cardiac Arrest