Resuscitation Phase and Fluid Replacement · NCLEX Exam

In the acute resuscitation phase of a major burn (>20% TBSA), which formula is commonly used to estimate initial fluid needs?

  1. 1 mL × kg × %TBSA burn
  2. 2–4 mL × kg × %TBSA burn of lactated Ringer’s in first 24 hours
  3. 5–6 mL × kg × %TBSA burn of normal saline in first 8 hours
  4. 10 mL × kg × %TBSA burn of dextrose solution in first 24 hours
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Correct answer: 2–4 mL × kg × %TBSA burn of lactated Ringer’s in first 24 hours

The consensus is to start with ~2–4 mL × kg × %TBSA burn of crystalloid (usually lactated Ringer’s) in the first 24 hours for adult burn resuscitation.

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