The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is:
a. blood urea nitrogen.
b. daily weight.
c. hourly intake and urine output.
d. serum potassium.
C
During initial fluid resuscitation, urine output helps guide fluid resuscitation needs. Measuring hourly intake and output is most effective in determining the needs for additional fluid infusion than is urine output alone. Blood urea nitrogen may be used to monitor volume status, but it is affected by the hypermetabolic state seen after burns, so it is not the optimal measure of intravascular fluid status. Daily weight measures overall volume status, not just intravascular volume. Serum potassium is released with tissue damage and thus is not the optimum measure of intravascular fluid status.
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