Podcast
Questions and Answers
What is the primary purpose of the Parkland Formula in burn management?
What is the primary purpose of the Parkland Formula in burn management?
How much of the total fluid requirement is given in the first 8 hours according to the Parkland Formula?
How much of the total fluid requirement is given in the first 8 hours according to the Parkland Formula?
What is the recommended urine output for children in terms of mL/kg/hr?
What is the recommended urine output for children in terms of mL/kg/hr?
Which chart is more accurate for estimating the total body surface area affected by burns in children?
Which chart is more accurate for estimating the total body surface area affected by burns in children?
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What is the purpose of the Modified Brooke Formula?
What is the purpose of the Modified Brooke Formula?
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What is the daily maintenance fluid requirement for the first 10 kg of a child's weight?
What is the daily maintenance fluid requirement for the first 10 kg of a child's weight?
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What is the hourly maintenance fluid requirement for each additional kilogram of a child's weight?
What is the hourly maintenance fluid requirement for each additional kilogram of a child's weight?
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In the Parkland formula, what is the total fluid requirement for the first 8 hours?
In the Parkland formula, what is the total fluid requirement for the first 8 hours?
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What is the purpose of using these formulas in managing burn patients?
What is the purpose of using these formulas in managing burn patients?
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What complication can be prevented by proper use of these formulas?
What complication can be prevented by proper use of these formulas?
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Study Notes
Burn Patient Management
- The Parkland Formula is used to calculate fluid requirements for burn patients in the first 24 hours after injury.
- The formula is: Total Fluid Requirement (mL) = 4 × Body Weight (kg) × % TBSA burned.
- 50% of the total fluid requirement is given in the first 8 hours, and the remaining 50% is given over the next 16 hours.
Modified Brooke Formula
- The Modified Brooke Formula is an alternative to the Parkland Formula with slightly different fluid requirements.
- The formula is: Total Fluid Requirement (mL) = 2 × Body Weight (kg) × % TBSA burned.
- The administration of fluids is the same as the Parkland Formula: 50% in the first 8 hours, and 50% in the next 16 hours.
Urine Output Monitoring
- Urine output is used as a guide to adjust fluid resuscitation.
- The target urine output is 0.5 mL/kg/hr for adults and 1 mL/kg/hr for children.
Rule of Nines for Estimating TBSA
- The Rule of Nines is used to estimate the total body surface area (TBSA) affected by burns in adults.
- The areas and their corresponding percentages are:
- Head and Neck: 9%
- Each Arm: 9% (total for both arms = 18%)
- Each Leg: 18% (total for both legs = 36%)
- Anterior Trunk: 18%
- Posterior Trunk: 18%
- Perineum: 1%
Maintenance Fluid Calculation for Pediatric Patients
- In addition to resuscitation fluids, children may need maintenance fluids calculated based on their body weight.
- The formula for daily maintenance fluid is: 100 mL/kg for the first 10 kg + 50 mL/kg for the next 10 kg + 20 mL/kg for each additional kg.
- The formula for hourly maintenance fluid is: 4 mL/kg for the first 10 kg + 2 mL/kg for the next 10 kg + 1 mL/kg for each additional kg.
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Description
Learn key equations and formulas used in burn management, including the Parkland Formula, to guide fluid resuscitation and treatment in the first 24 hours after injury.
