The nurse should report Hyperkalemia if it occurs immediately after burn injury.
Patients with electrical burns have traditionally been thought to develop hyperkalemia as a consequence. The breakdown of red blood cells, rhabdomyolysis, metabolic acidosis, and the onset of renal failure are all contributing factors to hyperkalemia. In this study, the prevalence of hyperkalemia within the first 24 hours following electrical burn injury was examined, as well as any potential relationships between serum potassium concentration and cutaneous burn size (percent TBSA) and serum creatine phosphokinase (CPK) concentration.
First off, hyperkalemia is a rare occurrence in patients who are hospitalized to our burn center with electrical injury along with extensive skin and muscle injuries. Second, whether or not is present is unrelated to the degree of rhabdomyolysis or the size of the burn.
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