A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,decreasing urine output,hypercapnia,and hypoxemia.Based on this assessment,the nurse anticipates interventions to evaluate and treat the patient for

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Intra-abdominal hypertension (IAH)is a serious complication caused by circumferential torso burn injuries or edema from aggressive fluid resuscitation.Signs and symptoms of IAH include tense abdomen,decreased urine output,and worsening pulmonary function.Acute kidney injury will not result from aggressive fluid resuscitation.Acute respiratory distress syndrome would present with signs of hypoxia and hypercarbia,but not a tense abdomen.Disseminated intravascular coagulation disorder may present as a tense abdomen if there is active bleeding,but it would not present with pulmonary symptoms.

A Patient with a 60% Burn in the Acute Phase