<prompt> Best solution for burns:NS 0.9Ringer s lactate25 dextroseColloid  <response>: Ans. b Ringers lactateRef: Sabiston 19th ed. 529-30 IV fluid resuscitation is immediately required: In children with burn 10 TBS A and adult with burn 15 TBS A Maximum fluid is given in first 8 hours 50 rest of the fluid will be given in subsequent hours 25 25 in next 16 hours. Most commonly usedpreferred fluid:Ringer lactate Crystalloids. Because it is a relatively isotonic crystalloid solution that is the key component of almost all resuscitative strategies, at least for the first 24-48 hours. However, some centers use human albumin, FFP or hypertonic saline. RL is preferable to isotonic sodium chloride solution ie, normal saline for large-volume resuscitations because its lower sodium concentration 130 mEqL vs 154 mEqL and higher pH concentration 6.5 vs 5.0 are closer to physiologic levels. Hypotonic fluid is not given, as it can lead to hyponatremia and water intoxication. Maintenance fluid in children: Dextrose -salineAlso Know Hypertonic saline has been effective in treating burn shock as it produces hyperosmolarity and hypernatremia This reduces the shift of intracellular water to the extracellular space 