Fluid Replacement

Question 1

What is one of the most important aspect of burn management?

Answer 1

Fluid Replacement

Question 2

We are giving large volumes of fluid so the client will need at least two of what?

Answer 2

large bore IVs

Question 3

What types of fluids will be given?

Answer 3

Crystalloids (LR) and colloids (albumin)

Question 4

Is it important to know what time the burn occurred?

Answer 4

Yes

Question 5

Why do we want to know when the burn occurred?

Answer 5

Fluid replacement (for first 24 hours) is based on time injury occurred

Question 6

How much of fluids is given in the first 8 hours?

Answer 6

half the total amount

Question 7

To calculate fluid replacement properly, you must know what two things?

Answer 7

• Clients weight in kg

- TBSA affected

Question 8

What is the calculation for fluid replacement?

Answer 8

(2-4mL of LR) x (body weight in kg) x (% of TBSA burned) = total fluid replacement for the first 24 hours

*4mL used for electrical burns to prevent renal damage

Question 9

how much fluid is given in the first 8 hours? 2nd 8 hours? and 3rd 8 hours?

Answer 9

1st= 1/2 Total volume
2nd= 1/4 total volume
3rd= 1/4 total volume

Question 10

If a client is restless what three things can it indicate?

Answer 10

• Fluid replacement
• Pain
• Hypoxia

Question 11

What is used to determine if fluid volume is adequate?

Answer 11

Urine output

-need minimum of 0.5 to 1 ml/kg/hr (aka 30-50 mL/hr in adult)

Question 12

For electrical injuries what should urine output be?

Answer 12

75-100mL/hr

Question 13

Children require urine output of what?

Answer 13

1mL/kg/hr