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#1
07-17-2011
 USMLE Forums Guru Steps History: 1+CK+CS Posts: 378 Threads: 161 Thanked 102 Times in 51 Posts Reputation: 116
fluid resuscitation in burns ?

in burns what we use for fluid resuscitation in first 12 hours ?

only use crystalloid solution or crystalloid and colloid ??

#2
04-04-2012
 USMLE Forums Guru Steps History: 1+CK+CS Posts: 460 Threads: 278 Thanked 161 Times in 79 Posts Reputation: 171
parkland formula

Hi:

According to Parkland formula:

we give 50%of calculated fluid in the first 8 hours, then the rest 50% fluid for the rest 16 hours out of 24 hours.

We do not give colloid until the second day because we might waste the colloid fluid into the third space.

Please correct me if i am wrong.
 The above post was thanked by: Mondoshawan (04-08-2012)
#3
04-08-2012
 USMLE Forums Master Steps History: 1+CK+CS Posts: 590 Threads: 31 Thanked 1,227 Times in 410 Posts Reputation: 1251

Quote:
 Originally Posted by chienpolska Hi: According to Parkland formula: we give 50%of calculated fluid in the first 8 hours, then the rest 50% fluid for the rest 16 hours out of 24 hours. We do not give colloid until the second day because we might waste the colloid fluid into the third space. Please correct me if i am wrong.
I agree - only crystalloids, usually Lactated Ringer's, for the first 24 hours. If the patient does not have adequate urine output by 24 hours you might start albumin or other colloid.

 Tags Emergency-Medicine, Internal-Medicine-, Surgery-

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