A patient is admitted to the burn unit after being transported from a facility 1000 miles away. The patient has burns to the groin area and both legs. The burns to the lower legs are circumferential
The nurse knows to monitor closely for what as the edema in this patient increases?
A) Ischemia
B) Eschar
C) Hyper-profusion to the burned area
D) Increased fluid loss through the burned area
Ans: A
Feedback: As edema increases, pressure on small blood vessels and nerves in the distal extremities causes an obstruction of blood flow and consequent ischemia. This complication is similar to compartment syndrome. The physician may need to perform an escharotomy, a surgical incision into the eschar (devitalized tissue resulting from a burn), to relieve the constricting effect of the burned tissue.
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