The fluid of choice in a child with burn < 24 hour is -
High-Yield Explanation
Fluid resuscitation in burn injury
Parkland formula
a. Inial 24 hours: Ringer's lactated (RL) solution 4 mL‘kg/% bum for adults and 3 ml/kg/% bum for children. RL solution is added for maintenance for children:
1. 4 ml'kg/hour for children weighing 0-10 kg
2. 40 ml/hour+2 ml.'hour for children weighing 10-20 kg
3. 60 ml.'hour + 1 ml'kg/hour for children weighing 20 kg or higher This formula recommends no colloid in the finial 24 hours.
b. Next 24 hours: Colloids given as 20-60% of calculated plasma volume. No crystalloids. Glucose in water is added in amounts required to maintain a urinary output of 0.5-1 ml/hour in adults and 1 ml/hour in children