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Risks
1. Fluid Overload: Although the Parkland formula is reliable, it does not take into account the patient's size, weight, and underlying comorbidities, which can lead to fluid overload.
2. Hypo/Hypernatremia: The rate of crystalloid fluid prescribed may lead to an imbalance in electrolytes and either hypo or hypernatremia.
3. Hypoglycemia: Since the formula relies solely on IV administration, rapid administration of fluids can lead to hypoglycemia, especially in patients with underlying diabetes.
4. Risk for Hypotension: If the patient is given too much fluid or the amount of fluid is infused too quickly, this could lead to blunting of the mean systemic arterial pressure (MSAP), leading to hypotension.