CBM Fluid Resuscitation & Management 2

Question 1

In the Parkland formula, what percentage of the calculated 24-hour fluid volume should be administered in the first 8 hours post-burn?

Accepted Answer

50%

Answer

The Parkland formula dictates that 50% of the total 24-hour fluid volume is given in the first 8 hours, with the remaining 50% over the next 16 hours.

Question 2

Which colloid is most commonly used after the first 24 hours of burn resuscitation to help maintain oncotic pressure?

Accepted Answer

Albumin

Answer

Albumin is the most commonly used colloid added after 24 hours to restore oncotic pressure and reduce overall fluid requirements.

Question 3

What urine output target per hour is typically used to guide adequate fluid resuscitation in adult burn patients?

Accepted Answer

30–50 mL/hr

Answer

A urine output of 0.5 mL/kg/hr, roughly 30–50 mL/hr in adults, indicates adequate renal perfusion and guides resuscitation titration.

Question 4

Fluid creep in burn resuscitation refers to:

Accepted Answer

Administration of volumes exceeding formula recommendations, causing complications

Answer

Fluid creep describes the phenomenon of giving far more fluid than resuscitation formulas predict, leading to abdominal compartment syndrome, pulmonary edema, and other complications.

Question 5

In a patient with an electrical burn and myoglobinuria, the urine output goal is adjusted to:

Accepted Answer

75–100 mL/hr

Answer

Myoglobinuria requires higher urine output (75–100 mL/hr) to flush myoglobin and prevent acute tubular necrosis.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Fluid Resuscitation & Management 2