1. What physiological processes do the patients go through during the emergent p
ID: 123849 • Letter: 1
Question
1. What physiological processes do the patients go through during the emergent phase ?2. What should be checked during the emergent phase as far as labs, injections and what abnormal values might you see? 1. What physiological processes do the patients go through during the emergent phase ?
2. What should be checked during the emergent phase as far as labs, injections and what abnormal values might you see?
2. What should be checked during the emergent phase as far as labs, injections and what abnormal values might you see?
Explanation / Answer
Emergent phase is a phase that is seen in burn victims. It is the time when patient gets injured to the time for the capillaries to regain their permeable abilities. During an episode of burns three zones of injury are seen.1 zone of coagulation, 2. Stasis zone 3. Hyperemic zone. The first zone signifies dead and neurotic tissue, the second zone signifies an inflammatory process with decreased tissue perfusion levels and the third zone means that that area has usual and slightly increased mivrovascular perfusion. Normally the burn area would increase after 2-3 days to also involve the stasis are and cause necrosis. This is why burn victims are more susceptible to severe infections and as a result multi organ failures. The main complications at this phase are severe dehydration resulting in low tissue perfusion and low oxygen levels, decreased cardiac output , oedema of the affected area, hyponatremia, hyperkalemia and hypothermia.
The laboratory tests that should be immediately done are whole blood counts, coagulation tests like prothrombin time and partial thromboplastin time, electrolytes check, renal parameters like creatinine, urea and uric acid with 24 hour urine monitoring. These parameters can all be effected depending on the severity of burns. The most immediate concern however will be low sodium and increased potassium levels with decreased spO2 levels, low oh values of blood indicating acidosis and decreased blood pressure.
The management will include maintaonence of airways, fluid balance, temperature maintaonence and prevention of sepsis wound care by administering antibiotics.
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