MANAGEMENT 3
* In the second 24 hours the fluid requirement is half of the
first day.
* The colloid is administered in the form of plasma or plasma
replacement depending on the depth of the burn.
* If a large percentage of burn area is full thickness than
the colloids are increased and the electrolytes
correspondingly decreased.The rate is adjusted so as to
give half of the first day's requirement in the first 8
hours.
* It must be stressed, however, that the time is calculated
from the moment the burns are sustained, and that the fluid
calculated as above and the daily metabolic requirement
(2000 ml.) must be administered to the patient.
* Assessment of progress is best obtained by catheterizing
the patient and if the urine output is near 50 ml per hour,
it can be presumed that the fluid requirements are being
met.
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