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EFFECT OF BURN (Renal Problem (Dehydration) (Causes (Fluid shift and…
EFFECT OF BURN
Renal Problem (Dehydration)
Major complication of burn with high mortality rate
Two major mechanism involved
Filtration failure
Tubular dysfunction
Grades of renal injury categorized by:-
Urine Output
Filtration rate
Clinical parameters(loss and end-stage kidney disease
Causes
Fluid shift and hypovolemia
Myocardial depression
Stress-related hormones
Inflammatory mediator
Nephrotoxic agents
Denaturation of protein
Respiratory dysfunction
Prevention
Circulatory stabilization
Monitoring renal function
Haptoglobin administration
Management
Fluid balance
Diuretics
Management of hyperkalemia
Haemodialysis
Nutritional support
Examples of thermal effect on GI
Gastric dilation
Increase gastric secretion and ulcer incidence
Adynemic ileus(paralysis of intestinal motility)
GI hemorrhage
Management
Total parental nutrition
Antimicrobial therapy
Insertion of nasogastric tube
Pain control
GI problem (Nutritional)
Causes
Due to blood flow to bowel decrease nearly by 60%
Increasing invasion of bacteria into GI system