A woman is brought in by ambulance

A woman is brought in by ambulance after her boyfriend threw a pot of boiling water at her. She has burns on her throat and chest and both shoulders. Her t-shirt stuck to the burn when the EMTs tried to cut it off in the spots where some decal fibers were loose. She has burns on her nose and chin. Determine your initial concerns about her care. Her hepatic function will show signs of hepatic stricture due to constriction of the portal vein as she experiences massive fluid shifts from the burn. She cannot process extra protein, so she needs to be given packed cells. She will be hypervolemic because of the increase in intracellular fluid. She will be showing signs of hemoconcentration, unless the fluid replacement is fast enough.

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