What IV solution should be started initially for a patient with deep partial-thickness burns covering 35% of the body?

The initial intravenous solution for a patient with deep partial-thickness burns covering 35% of the body should be warmed lactated Ringer's solution. This choice is correct because during the immediate post-burn period, it is essential to restore fluid balance and resuscitate the patient to prevent hypovolemic shock.

Lactated Ringer's solution contains electrolytes that help maintain the necessary osmotic balance and provide hydration. The addition of warmth to the solution is also significant, as patients with extensive burns can have hypothermia due to heat loss from damaged skin.

Fluid resuscitation protocols, such as the Parkland formula, recommend crystalloid solutions like lactated Ringer's for initial resuscitation in burn patients. This solution not only addresses hydration needs effectively but also assists in providing essential electrolytes that might be depleted following significant burn injuries.

Other options, such as dextrose 5% with saline or normal saline, may not adequately replace the specific needs of burn patients, particularly concerning electrolyte balance and caloric needs. 0.45% saline is a hypotonic solution and is typically not appropriate for fluid resuscitation in burn cases as it can lead to cellular edema and may not effectively restore vascular volume