What Physiologic Process Can Result in Excessive Burn Edema and Shock

What physiologic process can result in excessive burn edema and shock in a patient with injuries totaling more than 50% total body surface area (TBSA) burn?

A) The heat from the burn leads to immediate vascular wall destruction and extravasation of intravascular fluid.
B) A positive interstitial hydrostatic pressure occurs in the dermis leading to burn wound edema.
C) Plasma colloid osmotic pressure is decreased because of protein leakage into the extravascular space.
D) Capillary permeability decreases in burned and unburned tissue, leading to hypovolemia.

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