This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Intravenous resuscitation is required in a patient with 30% burns. Which of the following will be the best choice of fluid in the first 24 hours? \nSelect and explain. \nA. Normal saline, B. Dextrose 5%, C. Ringer lactate, D. Whole blood', 'role': 'user'}, {'content': "Answer: C \nExplanation: Most commonly used fluid for resuscitation in burns is ringer lactate. Some centres use human albumin solution or fresh-frozen plasma, and some centres use hypeonic saline. Intravenous resuscitation is indicated for children with a burn greater than 10% TBSA and adults with 15% TBSA. Parkland formula is the most widely used formula for calculating fluid replacement in the first 24 hours. The formula is Volume in ml = Total percentage body surface area x weight in kilograms x 4. Half of this volume is given in first 8 hours, and the second half is given in the subsequent 16 hours. In children, maintanence fluid is also given which is primarily dextrose saline. Ref: Bailey and Love's Sho Practice of Surgery, 24th edn, Page 271-2", 'role': 'assistant'}]