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Surgery General surgery 732a29ef

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
Half of the calculated fluid should be given in initial 8 hr
C
9 litre of Ringer's lactate should be given in first 24 hr
D
Urine output should be maintained at 25-30 ml/hr
High-Yield Explanation
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 next 16hours. Hamanns solution or ringer lactate is recommended. Regular assessment of adequacy of resuscitation should be performed. Blood products and colloid may also be given in addition to their requirements. REF, SRB 5th ed.pg133.

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