06-18-2007, 10:53 AM
A 68-year-old woman is brought to the emergency department after being rescued from her burning
apartment building. She was found unconscious in her bedroom, which was full of smoke and flames.
On presentation, she has extensive second and third degree burns over her legs and torso with an
estimated TBSA burn of 25%. The patient is stable with a blood pressure of 160/70 mm Hg and a
pulse of 100/min. The body temperature is 36 C (96.8 F). The plan is to initiate fluid replacement. The
most appropriate management is to
 A. infuse 1ml/kg x TBSA % burn of colloid solution on post burn day 2 for 24 hours
 B. infuse 1ml/kg x TBSA % burn of colloid solution over 24 hours
 C. infuse 4ml/kg x TBSA % burn of lactated ringers solution over 8 hours
 D. infuse 4ml/kg x TBSA % burn of lactated ringers solution over 24 hours
 E. infuse 4ml/kg x TBSA % burn of lactated ringers solution with one half in the first 8
hours
apartment building. She was found unconscious in her bedroom, which was full of smoke and flames.
On presentation, she has extensive second and third degree burns over her legs and torso with an
estimated TBSA burn of 25%. The patient is stable with a blood pressure of 160/70 mm Hg and a
pulse of 100/min. The body temperature is 36 C (96.8 F). The plan is to initiate fluid replacement. The
most appropriate management is to
 A. infuse 1ml/kg x TBSA % burn of colloid solution on post burn day 2 for 24 hours
 B. infuse 1ml/kg x TBSA % burn of colloid solution over 24 hours
 C. infuse 4ml/kg x TBSA % burn of lactated ringers solution over 8 hours
 D. infuse 4ml/kg x TBSA % burn of lactated ringers solution over 24 hours
 E. infuse 4ml/kg x TBSA % burn of lactated ringers solution with one half in the first 8
hours