Question

A 59 year old male patient has full thickness burns on both of the legs on the back, front and back of the trunk, both arms on the front and back, and front and back of the head and neck. The patient weighs 186 lbs. Use the Parkland Burn Formula: You've already infused fluids during the first 8 hours. Now what will you set the flow rate during the next 16 hours (mL/hr) based on the total you calculated?*

Answer 1

953 mL/hr will you set the flow rate during the next 16 hours (mL/hr) based on the total you calculated.

Step-by-step explanation:

To calculate the flow rate during the next 16 hours, you will need to use the Parkland Burn Formula. The formula is as follows:

Total Fluid Volume = 4 mL x Weight in kg x % Total Body Surface Area (TBSA) burned.

First, you need to convert the patient's weight from pounds to kilograms.

There are 2.2 pounds in 1 kilogram, so divide the weight in pounds by 2.2. In this case, 186 lbs ÷ 2.2 = 84.55 kg.

Next, you need to calculate the %TBSA burned.

Based on the description provided, the patient has full thickness burns on both legs (18% each), the front and back of the trunk (18% each), both arms (9% each), and the front and back of the head and neck (9% each).

Add up these percentages to get the total %TBSA burned: 18 + 18 + 18 + 9 + 9 + 9 + 9 = 90.

Now you can calculate the total fluid volume: 4 mL x 84.55 kg x 90% TBSA = 15245.2 mL.

Since the fluids have already been infused during the first 8 hours, you will need to calculate the flow rate for the remaining 16 hours.

Divide the total fluid volume by the remaining time in hours: 15245.2 mL ÷ 16 hours = 952.825 mL/hr.

Rounded to the nearest whole number, the flow rate during the next 16 hours would be approximately 953 mL/hr.