CBRN Fluid Resuscitation & Pain Control 2

Question 1

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?

Accepted Answer

5,600 mL

Answer

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.

Question 2

Which urine output target best indicates adequate fluid resuscitation in an adult burn patient?

Accepted Answer

0.5–1 mL/kg/hr

Answer

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.

Question 3

A burn patient develops abdominal compartment syndrome during resuscitation. Which intervention is most appropriate?

Accepted Answer

Reduce fluid rate and consider adding colloid or vasopressors

Answer

Abdominal compartment syndrome signals over-resuscitation; decreasing crystalloid and adding colloid or vasopressors reduces total volume while maintaining perfusion.

Question 4

Which opioid route is preferred for moderate-to-severe burn pain during the acute phase when IV access is established?

Accepted Answer

Intravenous

Answer

IV administration provides reliable, titratable analgesia; IM and subcutaneous routes are unreliable due to altered perfusion in burned tissue.

Question 5

Ketamine is used as an analgesic-anesthetic adjunct in burn care primarily because it:

Accepted Answer

Preserves airway reflexes and provides dissociative analgesia

Answer

Ketamine's dissociative properties provide effective analgesia while maintaining airway protective reflexes, making it valuable for procedural pain in burn patients.

(CBRN) Certified Burn Registered Nurse Practice Test

(CBRN) Certified Burn Registered Nurse Practice Test

CBRN Fluid Resuscitation & Pain Control 2