Fluid Resuscitation & Pain Control Flashcards
7 cards from real CBRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Fluid Resuscitation & Pain Control flashcards as text
A 70 kg adult has 40% TBSA burns. Using the Parkland formula, how much Lactated Ringer's should be given in the first 8 hours?
Answer: 5,600 mL
Parkland formula is 4 mL × kg × %TBSA; half is given in the first 8 hours post-injury, so (4 × 70 × 40) / 2 = 5,600 mL.
Which urine output target best indicates adequate fluid resuscitation in an adult burn patient?
Answer: 0.5–1 mL/kg/hr
A urine output of 0.5–1 mL/kg/hr is the standard goal in adult burn resuscitation, reflecting adequate renal perfusion without over-resuscitation.
A burn patient develops abdominal compartment syndrome during resuscitation. Which intervention is most appropriate?
Answer: Reduce fluid rate and consider adding colloid or vasopressors
Abdominal compartment syndrome signals over-resuscitation; decreasing crystalloid and adding colloid or vasopressors reduces total volume while maintaining perfusion.
Which opioid route is preferred for moderate-to-severe burn pain during the acute phase when IV access is established?
Answer: Intravenous
IV administration provides reliable, titratable analgesia; IM and subcutaneous routes are unreliable due to altered perfusion in burned tissue.
Ketamine is used as an analgesic-anesthetic adjunct in burn care primarily because it:
Answer: Preserves airway reflexes and provides dissociative analgesia
Ketamine's dissociative properties provide effective analgesia while maintaining airway protective reflexes, making it valuable for procedural pain in burn patients.
During dressing changes, which non-pharmacological intervention has the strongest evidence for reducing burn pain and anxiety?
Answer: Virtual reality distraction therapy
Virtual reality distraction has robust evidence in burn populations for significantly reducing procedural pain scores during dressing changes.
Colloid administration is typically delayed until after 24 hours post-burn injury because:
Answer: Capillary leak allows colloids to extravasate and worsen edema early on
Increased capillary permeability in the first 24 hours causes colloids to leak into the interstitium, potentially worsening edema rather than expanding intravascular volume.