When developing the plan of care for a child with burns requiring fluid replacement therapy, what information would the nurse expect to include?
A) Administration of colloid initially followed by a crystalloid
B) Determination of fluid replacement based on the type of burn
C) Administration of most of the volume during the first 8 hours
D) Monitoring of hourly urine output to achieve less than 1 mL/kg/hour
Ans: C
With fluid replacement therapy, most of the volume is administered during the first 8 hours. Crystalloids (such as Ringer lactate) are administered for the first 24 hours, and then colloids are used once capillary permeability is less of a concern. Fluid replacement is determined by the amount of body surface area burned. Hourly urine output is expected to be at least 1 mL/kg/hour.
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