2 Fluid Resuscitation Free Online FlashCards

What is the purpose of burn-fluid resuscitation?

It replaces fluid lost from the circulation after a major burn.

What can result from too little resuscitation fluid?

Too little fluid can impair organ perfusion.

What can result from excessive resuscitation fluid?

Too much fluid can worsen tissue and lung edema.

What starting estimate does ABA guidance recommend for adult burns involving at least $20\%$ TBSA?

For adults with burns involving at least $20\%$ TBSA, begin with an estimate of $2\ \text{mL} \times \text{body weight (kg)} \times \%\text{TBSA}$ for the first 24 hours, then adjust to the patient's response.

How does the traditional Parkland formula differ from the $2$-mL estimate?

The traditional Parkland formula uses $4\ \text{mL} \times \text{kg} \times \%\text{TBSA}$. Use the formula specified by the question or local protocol; do not silently substitute another.

Which burn depths count when estimating TBSA for fluid resuscitation?

Count partial- and full-thickness burns; exclude superficial burns.

When is the first half of the estimated 24-hour volume given?

Give half of the estimated 24-hour volume during the first 8 hours after injury.

How should elapsed time and prior fluids affect the initial rate?

The first 8-hour period starts at the time of injury. Subtract elapsed time and account for fluid already given when setting the initial rate.

Which fluid is commonly used for burn resuscitation?

Lactated Ringer’s is commonly used; follow the ordered fluid and titration instructions in the applicable burn-center protocol.

What is a common adult urine-output target during burn resuscitation?

A common adult target is about $0.5\ \text{mL/kg/hour}$.

What should prompt an adult urine output below target?

Check the measurement and catheter for obstruction, reassess perfusion and vital signs, review fluids delivered, and titrate under the burn protocol. Notify the responsible clinician if low output persists or the patient deteriorates.

What should you do if urine output rises well above target and edema increases?

Reassess promptly and adjust the rate under the burn protocol; monitor urine output, vital signs, perfusion, respiratory status, and cumulative fluid. Seek burn-specialist input when needed.