What fluid do we use to replace fluids in burn patients?

Begin fluid resuscitation with Normal Saline or Hartmann’s Solution for burns >20%TBSA in adults, and for burns >10%TBSA in children <16 years old. Where appropriate, warm IV fluid administration should be considered to help minimise heat loss.

What IV solution is best for burns?

Predominantly, fluid resuscitation is carried out intravenously and the most commonly used resuscitation formula is the pure crystalloid Parkland formula. This advocates the guideline for total volume of the first 24 hours of resuscitation at approximately 4ml per kilogram of body weight per percentage burn of TBSA.

Why is Hartmanns used in Burns?

Hartmann’s (or Lactated Ringer’s) solution is the preferred first-line fluid recommended by the British Burns Association. Its composition and osmolality closely resemble normal bodily physiological fluids and it also contains lactate which may buffer metabolic acidosis in the early post- burn phase.

When would you use a hypotonic solution?

Hypotonic solutions hydrate cells as water moves from vascular space to the intracellular space. Examples of when hypotonic solutions are used include to treat hypertonic dehydration, to replace fluids in cellular dehydration states, and to dilute concentrated (high-sodium) serum.

When to use hypotonic or hypertonic fluid replacement?

Intravenous fluid replacement solutions fall into two broad categories Crystalloids(isotonic, hypotonic, hypertonic) These solutions flow easily from in the bloodstream to cells and tissues. Colloids(always hypertonic) Given when patient blood volumes do not improve with crystalloids and the patient needs a volume expander

How does hypotonic solution work in a healthy person?

Hypotonic Solution In a Healthy Person (Don’t actually do this to anyone!! ?) Let’s do a thought experiment to illustrate how hypotonic fluids work. If we gave a hypotonic IV fluid to a healthy patient without any blood imbalances, then the hypotonic fluid would end up diluting their bloodstream.

Can a hypotonic solution cause increased cranial pressure?

Hypotonic solutions. Never give hypotonic solutions to patient who are at risk for increased cranial pressure (can cause fluid to shift to brain tissue), extensive burns, trauma (already hypovolemic) etc. because you can deplete their fluid volume.

How is hypertonic solution used to treat heat related disorders?

The hypertonic solution is the physical activity while the cells shrink from the excess solution. Hypertonic Solutions are administered for treatment of heat related disorders, hypotonic dehydration, and fresh water drowning.