Certified Wound Care Nurse (CWCN) Practice Exam

Fluid management is essential for patients with Toxic Epidermal Necrolysis (TEN) due to the significant loss of fluid and electrolytes that occurs as the condition progresses. In TEN, the epidermis detaches from the dermis, leading to widespread skin loss similar to that of a severe burn. This results in increased trans-epidermal water loss, which can lead to dehydration and electrolyte imbalances.

Maintaining adequate fluid balance is crucial for these patients to support their overall physiological status and promote healing. Intravenous fluids are often administered to regain homeostasis, prevent shock, and manage potential complications arising from the extensive fluid loss. Proper fluid management also supports kidney function, which can be compromised in this patient population.

While other options such as antibiotic therapy may be considered if there are secondary infections, or palliative care may be necessary to manage symptoms in advanced cases, the priority in the acute management of TEN is fluid management to mitigate the immediate life-threatening effects of the condition.