Abstract
Plasma renin activity (PRA), renal function, water and electrolyte balance were followed during the treatment of 18 patients with burn injuries. The burned area varied from 5 to 95% of the body surface area. Plasma renin activity was considerably increased during the initial 4 days after injury as well as during the 5 last days of life in the fatally injured 9 cases. Hypernatremia (hyperosmolality) was seen concomitantly with very high plasma renin activity. Increased sympathetic activity is supposed to be the main cause of the high levels of plasma renin activity.