Which solution is commonly used for fluid replacement in burn patients?
Ringer's lactate
Burns cause massive loss of fluid and electrolytes from the capillaries into the tissues, so isotonic crystalloid is needed.
Ringer’s lactate is the fluid of choice in the Parkland formula (4 mL × body weight in kg × % TBSA burned in the first 24 hours). Its composition is close to plasma, and the lactate is converted to bicarbonate, helping correct acidosis.
5% dextrose is hypotonic once the glucose is metabolised and distilled water causes haemolysis, so neither is used for resuscitation.
Hence, Ringer's lactate.
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Important Questions from Medical-Surgical Nursing
Which nursing intervention is most appropriate when caring for a patient experiencing an anaphylactic reaction?
A patient has just returned to the ward after abdominal surgery. Which action should the nurse take first to evaluate the effectiveness of respiratory interventions in the immediate postoperative period?
A nurse is monitoring a patient with a colostomy. Which observation requires immediate attention?
In a patient with a normal temperature and pulse but low blood pressure, which clinical condition should be considered first?
When caring for a patient with hypocalcemia, which symptom should the nurse closely observe?
