Laboratory Test Result to Report Immediately in Burned Client During Emergent Phase
Laboratory Test Results Present During the Emergent Phase of Burn Recovery
All of the following laboratory test results on a burned client’s blood are present during the emergent phase of burn recovery:
- Elevated white blood cell count (WBC)
- Elevated neutrophil count
- Elevated erythrocyte sedimentation rate (ESR)
- Elevated C-reactive protein (CRP) level
- Elevated blood glucose level
- Elevated potassium level
- Elevated sodium level
- Decreased chloride level
- Decreased bicarbonate level
- Decreased blood pH
Laboratory Test Result to Report Immediately
The nurse should report the elevated potassium level to the physician immediately. Potassium is an electrolyte that is essential for many bodily functions, including nerve and muscle function. Elevated potassium levels, also known as hyperkalemia, can cause serious complications, such as arrhythmias, cardiac arrest, and death.
Why is Hyperkalemia a Concern in Burn Patients?
Hyperkalemia is a concern in burn patients because burn injuries can cause the release of potassium from the cells into the bloodstream. This is due to a number of factors, including cell death, inflammation, and stress.
Signs and Symptoms of Hyperkalemia
The signs and symptoms of hyperkalemia can vary depending on the severity of the hyperkalemia. Some common signs and symptoms of hyperkalemia include:
- Muscle weakness
- Muscle cramps
- Numbness and tingling
- Fatigue
- Arrhythmias
- Cardiac arrest
Treatment of Hyperkalemia
The treatment of hyperkalemia depends on the severity of the hyperkalemia and the underlying cause. Treatment may include:
- Restricting dietary potassium intake
- Administering intravenous fluids
- Administering medications to promote potassium excretion, such as diuretics
- Performing dialysis
Conclusion
The nurse should report the elevated potassium level to the physician immediately because hyperkalemia is a serious complication that can lead to death. The physician will assess the client’s condition and develop a treatment plan to manage the hyperkalemia.