What do Broviac and Hickman catheters do?

Which of the following stages of burn injury is best described as including a pain response, an outpouring of catecholamines, tachycardia, tachypnea, mild hypertension, and anxiety?

A) Resolution B) Emergent C) Fluid shift D) Hypermetabolic

Jacob is a 30-year-old black man with a history of sickle cell disease. He presents with a three-day history of pain in both elbows. The pain is sharp and the patient rates it as a "9" on a scale of 1-10. He has a low-grade fever

He was started on NS IV fluids and morphine was administered for the pain. PMH—aside from the sickle cell disease, his past medical history is unremarkable. FH/SH—Both parents are alive and well. He has no siblings. He is not married. No known relatives with a history of sickle cell disease. Vital signs—T – 101.4 P – 89 R – 18 BP – 112/66 O2 sats – 90% on room air. HEENT—PERRLA; scleral icterus; remainder of exam in unremarkable. Cranial nerves grossly intact; normal sensation. Neck—No LAD or masses; no lymph nodes appreciated. Cardiac—RRR, S1 and S2 are normal. Lungs—Decreased breath sounds bilaterally. Crackles and rales heard on ausulcation. Abdomen—Normal bowel sounds; no rebound tenderness or guarding. Spleen slightly enlarged. Extremities—No cyanosis or clubbing. Musculoskeletal—Both elbows swollen, red, hot to the touch; tenderness on palpation and painful on extension. Limited ROM in both elbows. GU—Normal male. Rectal exam deferred. Impression: Sickle cell crisis. I am also concerned about the crackles, rales, and diminished breath sounds in the lungs. There could be a pneumonia starting. Plan: Admit for treatment of the sickle cell crisis. Get a CXR to see what is going on in the lungs. Continue IV fluids; consider Hydrea; consider transfusion, depending on H&H. Addendum: CXR is positive for pneumonia. Will do a forced sputum culture and start on antibiotics. First-listed diagnosis: ________ Secondary diagnosis: ________ Fill in the blank with correct word.