Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Why are insensible and wound fluid losses included when calculating fluid replacement for a child with severe burns?

  1. Pediatric maintenance fluids already cover insensible and wound losses
  2. Burn deficits can exceed maintenance and need extra replacement
  3. Children require less fluid per kilogram than adults during burns
  4. Isotonic fluids are essentially never indicated in pediatric burns
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Correct answer: Burn deficits can exceed maintenance and need extra replacement

In pediatric burn patients, fluid loss may be substantial (wound + insensible) and standard maintenance isn’t enough; additional replacement is needed.

Difficulty: Medium Question 16 of 23

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