A Patient Is Brought to the Emergency Department After a House

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The patient's weight is estimated at 85 kg.What is your initial plan for fluid replacement?

A) 5950 mL of Lactated Ringer solution (LR) for the first 8 hours; then 5950 mL of LR over the next 16 hours
B) 2868 mL of normal saline (NS) for the first 8 hours; then 5737 mL of hypertonic NS over the next 16 hours
C) 11,900 mL of dextran evenly divided over the first 24 hours
D) 11,475 mL of LR evenly divided over the first 24 hours

Correct Answer:

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