55-year-old lady, both upper limb, both lower limb, perineum 3rd degree burns. How much fluid will you give in first 8 hours?
Ans. (a)6710mL Ref: Bailey and Love 27th edition, page 625Parkland formula =4x weight in Kg x TBSATotal body surface area is calculated based on Lund andBrowder Chart in this case:So* Upper limb =1.5+1.5+2+1.5+1.5+2=10%for each upper limb* Lower limb =4.75+3.5+1.75+4.75+3.5+1.75=20%.for each lower limb* So total burns =10+10+20+20+1=61%* Parkland formula total fluid needed =4x55x61=13420/2=6710mL in 8 hours +6710mL in next 16 hours.
6710 mL
8120 mL
9120 mL
10,120 mL
Plastic & Reconstructive Surgery