When evaluating a burn patient in the ER, common laboratory tests include a
complete blood count (CBC), electrolytes, blood urea nitrogen (BUN), creatinine, glucose, coagulation profile (PT/PTT), arterial blood gas (ABG), and sometimes a carboxyhemoglobin level to assess for smoke inhalation,
all aimed at monitoring fluid balance, electrolyte abnormalities, kidney function, and potential complications related to the burn severity.
Key points about burn patient lab tests
complete blood count (CBC), electrolytes, blood urea nitrogen (BUN), creatinine, glucose, coagulation profile (PT/PTT), arterial blood gas (ABG), and sometimes a carboxyhemoglobin level to assess for smoke inhalation,
all aimed at monitoring fluid balance, electrolyte abnormalities, kidney function, and potential complications related to the burn severity.
Key points about burn patient lab tests
- CBC:
Checks for anemia or infection by evaluating red and white blood cell counts.
- Electrolytes:
Monitors sodium, potassium, and other electrolytes which can be significantly altered due to fluid shifts caused by burns. - BUN and Creatinine:
Assesses kidney function, important for monitoring fluid resuscitation in severe burns. - Coagulation profile:
Checks for potential bleeding issues like disseminated intravascular coagulation (DIC) which can occur in severe burns. - ABG:
Measures blood oxygen and carbon dioxide levels, especially crucial for patients with smoke inhalation injuries. - Carboxyhemoglobin level:
Specifically detects carbon monoxide poisoning from smoke inhalation.
- Burn severity:
More extensive burns may require more frequent and comprehensive lab monitoring.
- Type of burn:
Chemical burns might require additional tests to assess specific toxins involved. - Patient's medical history:
Existing conditions like diabetes or heart disease could necessitate additional lab monitoring.