What must be added to the fluid resuscitation for a burn patient who weighs over 80 kg?

In the management of fluid resuscitation for burn patients, it is crucial to adjust fluid rates based on the patient's weight, particularly for those over 80 kg. For burn victims, the Parkland formula is commonly used, which provides guidelines on how much lactated Ringer's solution (or a similar fluid) should be administered in the first 24 hours post-burn.

When a patient weighs over 80 kg, the formula indicates that for every additional 10 kg above this threshold, a specific volume of fluid must be added to ensure adequate resuscitation. The correct choice involves adding 100 mL/h for each additional 10 kg over 80 kg. This adjustment is essential to accommodate the higher metabolic demands and larger body surface area of heavier patients, which require more fluid to effectively maintain hemodynamic stability and deliver adequate perfusion to vital organs.

This systematic approach ensures that even in a larger patient population, fluid resuscitation is tailored to meet individual needs, highlighting the importance of weighing factors like patient weight in treatment protocols for burn care.