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The success of fluid replacement therapy for burn patient after 48 hours can be evaluated by:1. Weight2. Urine output3. Urine specific gravity4. Peripheral perfusion

Answer» Correct Answer - Option 2 : Urine output

Concept:

  • During the fluid replacement therapy for a burn patient, hourly urine output is monitored through the indwelling catheter.
  • Urine output helps to adjust the fluid resuscitation.
  • Urine output is a physiologic response and therefore is an indicator for hypovolemia.

Explanation:

  • The resuscitation phase is the time between initial injury and 48 hours after injury.
  • The aim of the resuscitation phase is to assess the severity of the burn, monitor airway and breathing, and prevent hypovolemic shock.
  • The burn injury leads to the loss of the majority of the body water. That causes hypovolemic shock.
  • Therefore, fluid resuscitation is required.
  • The fluid resuscitation is calculated through= RL's solution 2 to 4ml * body weight (kg) * percent burn.
  • The formula act as a guide and urine output help to adjust the infusion rate.


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