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A Patient Is Brought to the Emergency Department After a House

Question 24

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A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The patient is now in the intensive care burn unit with a heart rate of 140 beats/min,a urine output of 25 mL/hr,and clear lung sounds.The patient's symptoms are most likely attributable to


A) blood loss associated with burns and wound care.
B) hemodynamic stability related to adequate fluid resuscitation.
C) over-resuscitation related to overestimation of the TBSA involved.
D) under-resuscitation because of probable inhalation injury.

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