Burn Treatment Critical CareBoard Review Questions of the Week
Try this critical care burn treatment board review sample question...Then try the full quiz and earn CME!
Critical Care Burn Treatment Case:
A 46-year-old man weighing 85 kg with no past medical history is brought in by paramedics after sustaining extensive burn injuries in a brush fire.
He was clearing brush in his yard when the blaze spread out of control and his clothing caught fire.
By the time his family heard his cries and helped him extinguish the flames, he had sustained burns to much of his torso and the lower half of his body.
On examination, he is awake and alert, but he is yelling in pain.
Vital signs are:
- temperature 35.6 °C (96.1 °F),
- heart rate 120 beats/minute (sinus tachycardia),
- blood pressure 90/60 mmHg,
- respiratory rate 24 breaths/minute,
- oxygen saturation 98% on room air.
Exposure reveals deep second- and third-degree burns to the entirety of both his legs circumferentially and bilaterally, as well as to his genitalia, his abdomen to the costal margins of the rib cage, and his entire back.
His arms, chest, neck, face, and head are spared.
As you initiate burn treatment, what is the most appropriate fluid-management strategy in this patient?
normal saline at 1360 mL/hour for 8 hours, then 680 mL/hour for 16 hours.
lactated Ringer solution at 1360 mL/hour for 8 hours, then 680 mL/hour for 16 hours.
normal saline at 978 mL/hour for 8 hours, then 489 mL/hour for 16 hours.
lactated Ringer solution at 978 mL/hour for 8 hours, then 489 mL/hour for 16 hour.
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