- Vasoactive substances are released from injured tissue -» cause (+)inc in capillary permeability
- Extensive burns -» generalized body edema & (-)dec circulating intravascular blood volume
- Fluid loss -» (-)dec organ perfusion
- (+)inc pulse, (-)dec blood pressure, (-) cardiac output
Initially:
- Hyponatremia & hyperkalemia occur
- (+)inc hematocrit level = d/t plasma loss
- Then falls to below normal by 3rd-4th day d/t RBC damage
- Blood shuts blood from the kidney -» causing oliguria
- Body reabsorbs fluid and diuresis excess fluid over next days-weeks
- (-)dec blood flow to GI tract -» intestinal ileus & GI dysfunction
- Immune system depression -» immunosuppression
- (+)inc risk of infection & sepsis
- Pulmonary HTN can develop -» may result in (-)dec arterial oxygen tension level & (-)dec lung compliance