- April 24, 2020
Effects of burns on fluid and electrolyte balance
Effectsof burns on fluid and electrolyte balance
Normalphysiological operations usually occur under specific conditions,e.g., temperature, water level, and PH. It is therefore veryimportant for one to maintain these condition for maximum cellproductivity and development. The normal body water is contained inthe interstitial and intercellular volumes. In this fluid volumes,there are dissolved minerals like sodium are maintained at a balancethrough homeostasis. This essay is going to highlight risk factorsassociated with electrolyte imbalance and their diagnostics methods.
Whenone gets burnt, their blood vessels (vascular system) become morepermeable, the osmotic pressure of the cell is higher (Agrò, 2012).Therefore, the volume of water in blood is lost into the burned orunburnt tissues resulting in edema. Decreased volume causes reducedblood flow in the blood vessels. Important body organs like the braindo not get enough oxygen supply. The concentration of sodium in thecells is reduced because their permeability was increased. The skinwhich is responsible for preventing excessive water loss is damagedcausing dehydration and electrolyte imbalance (Jones & Vaidya,2014). It is, therefore, important that the fire victim`s patientmaintain a standard fluid level for normal physiological processes tooccur.
Normalfluid and sodium levels can be retained using normal saline to obtainnormal levels. The fluid levels can be determined through clinicalassessment or review of the blood. Observation of the pulse,respiratory rate and blood pressure (Kasten, Makley & Kagan,2011). Blood chemistry review can be done to check the levels ofelectrolytes like sodium, potassium, and chloride.
Aftera burn, the first things that a physician out to watch out for isensuring there was no injury to the inhalation system by checking forblisters. Additionally, he or she out to restore fluid andelectrolyte balance in the patient`s body. Ensure monitoring ofurinary output, venous pressure, and cardiac output.
Normallybody operations usually occur at specific condition such astemperature, water level, and PH. The body has mechanisms forensuring that these factors are always constant. However, during afire incident, there may be significant disruptions and it is thusintegral that physicians intervene. Some of the strategies used toensure electrolyte balance include the use infusions to replace lostfluid or blood transfusion to increase vascular volume among others.
Agrò,F. E. (Ed.). (2012). Bodyfluid management: from physiology to therapy.Springer Science & Business Media.
Jones,A. G., & Vaidya, B. (2014). Preoperative Endocrine Function andFluid-Electrolyte Balance. In pituitaryapoplexy (pp.95-105). Springer Berlin Heidelberg.
Kasten,K. R., Makley, A. T., & Kagan, R. J. (2011). Update on thecritical care management of severe burns. Journalof intensive care medicine, 26(4),223-236.