A patient is admitted to the emergency department with deep partial-thickness burns over 35 % of the body. What IV solution will be started initially?
1. warmed lactated Ringer's solution
2. dextrose 5% with saline solution
3. dextrose 5% with water
4. normal saline solution
Correct Answer: 1
Warmed lactated Ringer's solution is the IV solution of choice because it most closely approximates the body's extracellular fluid composition. It is warmed to prevent hypothermia. The other solutions are not the first choice in fluid resuscitation.
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