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Fluid resuscitation
Fluid resuscitation should be initiated in
children with 10% TBSA burn rather than 20%
TBSA as with adults.
Fluid for resuscitation should be given with
maintenance fluids.
Resuscitative fluid
3-4ml x weight (Kg) x TBSA (LR)
Maintenance fluid (D5LR)
First 10Kg BW: 100ml/Kg
Second 10Kg BW: 50ml/Kg
For each Kg BW above 20Kg: 20ml/Kg
Cerebral edema and hyponatraemia are
more likely in children with fluid overload.
Careful fluid administration, avoiding
hypotonic fluids and blood electrolytes
monitoring are important.
The most reliable parameter of adequate
resuscitation is the urinary output. It is
important to keep urine output at 1ml/kg/hr.
