What additional IV fluid is required for patients under 30kg who experience a thermal burn?

For patients under 30 kg who experience a thermal burn, the administration of 5% dextrose in lactated Ringer's at a maintenance rate is crucial due to the specific metabolic demands of pediatric burn patients. The inclusion of dextrose provides an essential source of carbohydrates, which is vital in supporting the higher energy requirements typically seen in children recovering from burns. This is important because, in burn injury scenarios, the body undergoes significant stress and catabolism, leading to increased metabolic rates.

Lactated Ringer's solution alone primarily supports fluid resuscitation and electrolyte balance but does not provide the necessary carbohydrates that are critical for children. Factors such as their higher surface area-to-volume ratio contribute to more rapid fluid loss and increased caloric needs. Therefore, combining lactated Ringer's with dextrose addresses both the fluid replacement and the metabolic needs, promoting recovery and preventing potential hypoglycemia.

While normal saline is often used for fluid resuscitation, it lacks the buffering capacity and caloric component that are necessary in this context. Colloids are typically reserved for specific conditions such as hypoproteinemia and are not routinely used in burn fluid resuscitation protocols, especially in pediatric patients. Additionally, simply using