Fluid calculation for burn patient's
1. Parkland/ Baxter formula
4ml X Kg body weight X % body surface are (BSA) burned
Administered in first 24 hours;
a. Give half of solution in first 8 hours.
b. Remaining half for next 16 hours.
IV maintenance fluid; 4:2:1 rule
2. Brooke formula
In first 24 hours;
Electrolytes;
1.5 ml X Kg body weight X % body surface area (BSA) burned
Colloids; 0.5ml X Kg body weight X % body surface area (BSA) burned
Non Electrolytes fluids; Glucose 5% in distilled water (2000ml glucose in distilled water)
a. Half given in first 8 hours
b. Remaining half next 16 hours
3. Evans formula
In first 24 hours
Electrolytes;
0.5ml X Kg body weight X % body surface area (BSA) burned
Colloids; 1ml X Kg body weight X % BSA burned
Non Electrolytes; 2000ml glucose in distilled water.
a. Half to given first 8 hours
b. Remaining half to given next 16 hours.
4. Consenus formula
In first 24 hours;
Lactate ringer solution
(2-4) ml X Kg body weight X % BSA burned
a. Half of fluid given first 8 hours.
b. Half of fluid given next 16 hours
5. Hypertonic solution
Reduce edema and pulmonary complications.
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