Equis ISSN 2398-2977

Fluid therapy: burns

Contributor(s): Kate Baker, John R Dodam, Gayle Hallowell, Jarred Williams

Pathophysiology

  • Burns are an extremely rare presentation in the horse.
  • Severe burns cause large increases in vascular endothelial permeability throughout the body due to release of inflammatory mediators from the burn site.
  • Loss of plasma proteins from the vascular space results in reduced oncotic pressure and fluid shift from the vascular space to the interstitium.
  • Hyperkalemia may result from K+ release from the damaged cells.
  • Metabolic acidosis Acid-base imbalance is common following severe burns.
  • Fragility of red blood cells results in increased destruction and morphologic changes following burns.
  • Up to 50% of plasma water can be lost from the circulation 2 h after burn insult.
  • Classify burns.
  • Assess smoke injury.
  • Define local vs severe burn injury.

Treatment

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Monitoring

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Further Reading

Publications

Refereed papers
  • Recent references from PubMed and VetMedResource.
  • Theoret C & Schumacher J (2017) Equine wound management. 3rd edn. Wiley & Sons, Ames.


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