Florida State Paramedic Practice Exam

How many ml of fluid is recommended for maximum treatment in trauma cases?

1. 1500-2500 ml

2. 2000-3000 ml

3. 2500-3500 ml

4. 3000-4000 ml

The correct answer is: 2000-3000 ml

In trauma cases, especially those involving significant blood loss, fluid resuscitation is critical to maintaining hemodynamic stability and ensuring adequate perfusion to vital organs. Current guidelines generally recommend administering between 2000 to 3000 ml of isotonic crystalloids as the maximum treatment during the initial resuscitation phase of trauma management. This range is considered effective in addressing shock and stabilizing patients without the complications that may arise from administering excessive volumes, such as fluid overload or dilutional coagulopathy. Administering fluids outside this recommended range could increase the risk of adverse outcomes. For example, administering less than 2000 ml may not sufficiently address hypovolemia, while exceeding 3000 ml can lead to complications such as pulmonary edema or increased intra-abdominal pressure. Therefore, the recommended fluid range reflects a balance between sufficient resuscitation and the avoidance of potential negative effects on the patient.