Resuscitation Phase and Fluid Replacement · NCLEX Exam

Which statement is true regarding the use of albumin or colloids in the initial 24 hours of burn resuscitation?

  1. Colloids should always replace crystalloids from the start
  2. Routine colloid use in the first 24 h is standard for all burns
  3. Albumin may be considered when crystalloid volumes exceed 6 mL/kg/%TBSA
  4. Colloids raise mortality and must always be avoided
Show answer and explanation

Correct answer: Albumin may be considered when crystalloid volumes exceed 6 mL/kg/%TBSA

Some burn CPGs suggest considering albumin after 12 h if fluid volumes become excessive; but it’s not routine in all cases.

Difficulty: Medium Question 9 of 20

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