Crystalloid is the type of fluid the nurse should prepare and administer as fluid resuscitation during the emergent phase of burn recovery. Burns lead to leakage of fluid from capillaries causing overall blood volume loss, blood becomes concentrated.
Ringer lactate or normal saline should be given in order to regain lost blood volume.
There is no emergent need for fresh frozen plasma, packed red blood cells or colloid.
Fresh frozen plasma would be needed if the patients was bleeding and in need of blood clotting factors, packed red blood cell and colloids are not needed cause the blood is already concentrated with blood cells.
Crystalloids-although not universally true, most fluid resuscitation for burn injuries starts with crystalloid solutions, such as normal saline and ringers lactate. the burn client rarely requires blood during the emergent phase unless the burn is complicated by another injury that involved hemorrhage. colloids and plasma are not generally used during the fluid shift phase because these large particles pass through the leaky capillaries into the interstitial fluid, where they increase the osmotic pressure. increased osmotic pressure in the interstitial fluid can worsen the capillary leak syndrome and make maintaining the circulating fluid volume even more difficult.dif: cognitive level: comprehensiontop: nursing process step: implementation/interventionmsc: client needs category: safe, effective care environment;
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