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Burn Management: Fluid Resuscitation Calculations
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Burn Management: Fluid Resuscitation Calculations

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Questions and Answers

What is the primary purpose of the Parkland Formula in burn management?

  • To monitor urine output in burn patients
  • To calculate the fluid requirements for burn patients in the first 24 hours (correct)
  • To estimate the total body surface area affected by burns
  • To adjust the administration of resuscitation fluids
  • How much of the total fluid requirement is given in the first 8 hours according to the Parkland Formula?

  • 75%
  • 50% (correct)
  • 25%
  • 100%
  • What is the recommended urine output for children in terms of mL/kg/hr?

  • 2 mL/kg/hr
  • 1 mL/kg/hr (correct)
  • 5 mL/kg/hr
  • 0.5 mL/kg/hr
  • Which chart is more accurate for estimating the total body surface area affected by burns in children?

    <p>Lund-Browder Chart</p> Signup and view all the answers

    What is the purpose of the Modified Brooke Formula?

    <p>To provide an alternative to the Parkland Formula with slightly different fluid requirements</p> Signup and view all the answers

    What is the daily maintenance fluid requirement for the first 10 kg of a child's weight?

    <p>100 mL/kg</p> Signup and view all the answers

    What is the hourly maintenance fluid requirement for each additional kilogram of a child's weight?

    <p>1 mL/kg</p> Signup and view all the answers

    In the Parkland formula, what is the total fluid requirement for the first 8 hours?

    <p>Half of the total fluid requirement</p> Signup and view all the answers

    What is the purpose of using these formulas in managing burn patients?

    <p>To guide initial fluid resuscitation and ongoing fluid management</p> Signup and view all the answers

    What complication can be prevented by proper use of these formulas?

    <p>Complications associated with both under-resuscitation and over-resuscitation</p> Signup and view all the answers

    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.

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