Hydrofluoric Acid Burns Workup

Updated: Jun 23, 2021
  • Author: Garry Wilkes, MBBS, FACEM; Chief Editor: Joe Alcock, MD, MS  more...
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Workup

Laboratory Studies

Evaluate electrolyte status. [7]  Severe disturbances can occur, especially the following:

  • Hypocalcemia

  • Hypomagnesemia

  • Hyperkalemia

Urinary fluoride levels increase with the severity of burns and can be used to guide therapy in mass exposure incidents. [5]

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Imaging Studies

Obtain chest a radiograph if pulmonary edema is suspected. If burns to the fingers exist, perform digital radiographs to evaluate bone integrity.

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Other Tests

Cardiac monitoring with electrocardiography is necessary if burn is significant. Arrhythmias are a primary cause of death. Monitor for QT prolongation from hypocalcemia or signs of hyperkalemia.

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