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If a burn patient's urine were reddish-brown in color, what would change in your burn resuscitation?

A) Nothing would change.
B) Increase fluid resuscitation.
C) Decrease fluid resuscitation.
D) Administer pain medication.

Answer :

Final answer:

The presence of reddish-brown urine in a burn patient may indicate myoglobinuria and the risk of acute kidney injury. To prevent kidney damage, it is essential to increase fluid resuscitation.

Explanation:

If a burn patient's urine is reddish-brown, it often indicates that there is myoglobinuria, which is the presence of myoglobin in the urine. Myoglobin is a protein normally found in muscle tissue that can be released into the bloodstream in large quantities when muscle damage occurs, such as with severe burns. The presence of myoglobin in the urine can potentially cause acute kidney injury (AKI), so the reddish-brown color is a sign of possible kidney damage due to myoglobin's toxic effects on the kidneys.

To mitigate the risk of AKI, fluid resuscitation may need to be increased to ensure adequate kidney perfusion and to dilute the myoglobin in the urine. This is crucial because it helps to prevent the myoglobin from forming casts in the renal tubules, which can block urine flow and damage kidney tissue. Therefore, the correct answer to the question is B) Increase fluid resuscitation.

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