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학습 자료 둘러보기 →Calculate fluid replacement using the Parkland formula as a starting point, but titrate to urine output of 0.5-1 mL/kg/hr. Crystalloids like Lactated Ringer's are preferred.
Strictly monitor intake and output hourly. Assess for signs of fluid overload (crackles, edema) and deficit (tachycardia, hypotension). Monitor serum electrolytes (especially sodium and potassium) every 4-6 hours initially.
Avoid over-resuscitation which can worsen pulmonary edema. The goal is euvolemia, not just massive volume replacement. Weigh the patient daily for accurate fluid balance assessment.
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