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Surgery General 700e61a7

A 50-year female has 2º deep burn involving 45% total body surface area (TBSA). Regarding her management which of the following statement (s) is/are true

A
Give rapid normal saline infusion
B
9 litre of Ringer's lactate should be given in first 24 hr
C
Urine output should be maintained at 25-30 ml/hr
D
Half of the calculated fluid should be given in initial 8 hr
High-Yield Explanation
SRBs manual of surgery,4th edition According to parkland regimen, 4ml/%burn/bodyweight/24hours. i.e 4*45*50=9000ml. Fluid requirements, first 24hours=9L first 8hours=4.5L 4.5L are infused in the next 16hours Hartmann's solution or ringer lactate is recommended Regular assessment of the adequacy of resuscitation should be performed Blood products and colloid may also be given in addition to their requirements.

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