Which of the following is an appropriate fluid resuscitation approach for burn patients?

The appropriate fluid resuscitation approach for burn patients is based on the severity of burns and the percentage of total body surface area (TBSA) affected. In the case of major burn injuries, particularly when TBSA is significant, using Lactated Ringer's solution at a rate of 2-4 mL/kg/%TBSA for the first 24 hours post-injury is established as a standard guideline. This method helps replenish fluids lost due to evaporative water loss and other physiological changes that occur following burns. It aids in maintaining hemodynamic stability, preventing shock, and supporting organ function.

Using Lactated Ringer's is preferred because it closely resembles the electrolyte composition of the body's plasma and helps mitigate the risk of electrolyte imbalances. This solution also has benefits in managing the acidosis often seen in burn patients due to tissue injury and hypoperfusion.

Other approaches suggested, such as administering normal saline at a fixed rate or using maintenance fluids of D5W, do not address the specific needs for fluid replacement in burn patients, particularly in the acute phase. Normal saline may not provide the necessary electrolytes and fluid volume required following significant injuries, while D5W is inappropriate as a primary resuscitation fluid because it does not contain