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# Burn Management: Fluid Resuscitation Calculations

Created by
@GodlikeLouisville

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

To calculate the fluid requirements for burn patients in the first 24 hours

50%

1 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:
• 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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