Burn injury-Lab values

Question 1

Resuscitation Phase:

WBC

Answer 1

initial increase, then decrease

Question 2

Resuscitation Phase:

Blood glucose

Answer 2

elevated

**due to stress response

Question 3

Resuscitation Phase:

ABGs

Answer 3

slight hypoxemia

Question 4

Resuscitation Phase:

pH?

Answer 4

Metabolic ACIDOSIS

Question 5

Resuscitation Phase:

Total protein/Albumin

Answer 5

Low (fluid loss)

Question 6

Resuscitation Phase:

Carboxyhemoglobin

Answer 6

elevated

**hypoxia can result

Question 7

When does the intial fluid shift occur after a burn?

Answer 7

24 hours

Question 8

When does fluid mobilization occur after the initial fluid shift?

Answer 8

48-72 hours after burn

Question 9

Resuscitation Phase:

Hct and Hgb

Answer 9

• elevated initially

- then decreased (fluid mobilization)

Question 10

Why Is HCt/Hgb ELEVATED during initial fluid shift?

Answer 10

due to loss of fluid and volume/third spacing

Question 11

Why Is Hct/Hgb DECREASED during fluid mobilization?

Answer 11

due to fluid shift back into vascular fluid

Question 12

Resuscitation Phase:

Sodium

Answer 12

Decreased, and remains decreased

Question 13

Resuscitation Phase:

Potassium

Answer 13

• Increased (initial fluid shift

- decreased (after fluid mobilization)

Question 14

Why is Potassium increased initially?

Answer 14

Cell destruction–comes out of cells

Question 15

Why is Potassium decreased after fluid mobilization?

Answer 15

due to renal loss and movement back into cell

Question 16

Acute Phase:

UOP

Answer 16

Increased

**this is what signals the start of this stage!!

Question 17

Acute Phase:

Na

Answer 17

Decreased

Question 18

Acute Phase:

K

Answer 18

Decreased

Question 19

Acute phase:

pH

Answer 19

Metabolic ACIDOSIS

**same as Resus.