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FLUID RESUSCITATION/PARKLAND FORMULA Calculate from Time of Burn START WITH 0.25mls x MLS OF HARTMANN EACH HOUR % BSA x weight (kg) (Based on 4mls/Kg/% in 1st 24hrs, with half given in 1st 8 hrs)

How to fill out fluid resuscitationparkland formula burns

How to fill out fluid resuscitation Parkland formula for burns:

1. Calculate the Total Body Surface Area (TBSA) affected by the burn. This can be done using various methods, such as the Rule of Nines or the Lund-Browder chart.
2. Determine the patient's weight in kilograms. This is essential for accurately calculating the fluid resuscitation rate.
3. Calculate the fluid resuscitation rate using the Parkland formula. The formula recommends delivering 4 mL of lactated Ringer's solution per kilogram of body weight per percentage of burn. The total calculated fluid amount should be administered over 24 hours, with half of the total administered in the first 8 hours following the burn, and the remaining half administered in the next 16 hours.
4. Begin fluid resuscitation as soon as possible after the burn injury. Intravenous access should be established, and the prescribed fluid volume should be administered using a calibrated infusion pump or by manual control.
5. Monitor the patient's vital signs, urine output, and laboratory values throughout the fluid resuscitation process. Adjustments may need to be made based on the patient's response and fluid balance.

Who needs fluid resuscitation Parkland formula for burns?

1. Patients with burn injuries that meet certain criteria may require fluid resuscitation using the Parkland formula. These criteria commonly include burns involving more than 20% of the Total Body Surface Area (TBSA).
2. Patients with burns that affect critical areas, such as the face, hands, feet, genitals, or major joints, may also require fluid resuscitation even if the TBSA is below 20%.
3. The Parkland formula is particularly relevant for patients with second-degree or higher burns, as these injuries can cause significant fluid loss and require volume replacement to maintain hemodynamic stability.
4. Patients who experience inhalation injuries or electrical burns may also require fluid resuscitation using the Parkland formula, as these types of burns often result in systemic effects and fluid shifts.

In conclusion, understanding how to fill out the fluid resuscitation Parkland formula for burns is crucial in providing appropriate care for patients with significant burn injuries. Identifying the individuals who require this type of fluid resuscitation is important to ensure the correct application of the formula and optimize patient outcomes.

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