For age 6-12, the pediatric burn fluid bolus is which amount?

For age 6-12, the pediatric burn fluid bolus is which amount?

• A. 125 mL NS/LR
• B. 500 mL NS/LR
• C. 250 mL NS/LR
• D. 100 mL NS/LR

Answer: (C)

In pediatric burn resuscitation, the goal is to restore intravascular volume with an isotonic crystalloid and titrate care to the child’s response. For children aged 6–12, a 250 mL bolus of normal saline or lactated Ringer’s is commonly used as the initial fluid challenge. This fixed amount reflects the smaller circulating volume in school-age children and provides enough volume to improve perfusion without risking rapid overhydration. After giving the bolus, reassess promptly—look at heart rate, blood pressure, mental status, cap refill, and urine output—and be prepared to repeat small boluses as needed according to protocol and the child’s response. Using an isotonic solution helps support circulation and avoids shifts that can occur with hypotonic fluids.

In pediatric burn resuscitation, the goal is to restore intravascular volume with an isotonic crystalloid and titrate care to the child’s response. For children aged 6–12, a 250 mL bolus of normal saline or lactated Ringer’s is commonly used as the initial fluid challenge. This fixed amount reflects the smaller circulating volume in school-age children and provides enough volume to improve perfusion without risking rapid overhydration. After giving the bolus, reassess promptly—look at heart rate, blood pressure, mental status, cap refill, and urine output—and be prepared to repeat small boluses as needed according to protocol and the child’s response. Using an isotonic solution helps support circulation and avoids shifts that can occur with hypotonic fluids.