Pathophysiology of Burn Injury · NCLEX Exam

In the microcirculation after burn injury, which change contributes to fluid extravasation?

  1. Tightening of the endothelial junctions sealing the capillaries
  2. A generalized decrease in capillary permeability after injury
  3. Loss of the endothelial glycocalyx with leakage of protein and plasma
  4. An isolated increase in capillary hydrostatic pressure only
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Correct answer: Loss of the endothelial glycocalyx with leakage of protein and plasma

Burn injury damages the endothelial glycocalyx and disrupts vascular integrity, leading to proteins and fluid leakage into tissues.

Difficulty: Medium Question 15 of 20

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