(5) Divide the quotient obtained in step (4) by 8 to determine the amount of

IV fluid to be administered per hour during the first eight hours. Divide the quotient

obtained in step (4) by 16 to determine the amount of IV fluid to be administered per

hour during the remaining 16-hour period.

(6)

Divide the amount per hour by 60 to determine the amount per minute.

(7) Multiply the amount per minute by the number of drops per milliliter

(usually 10 drops equal one milliliter) to obtain the number of drops per minute to be

administered. This is the flow rate. Note that the flow rate (drops per minute) for the

first eight hours is twice as fast as the flow rate (drops per minute) for the last 16

hours.

(8)

An example is given in figure 6-6.

c. Select a large peripheral vein for needle insertion.

(1) If possible, initiate the IV in an area which has not been burned. An

accessible vein with overlying burned skin can still be used, however.

(2)

A vein in an upper extremity is usually preferred over a vein in a lower

extremity.

d. Select a large gauge (16 gauge or 18 gauge) needle.

e. Initiate the intravenous infusion using the procedures given in Subcourse

MD0552, Injections and Intravenous Infusions. Ringer's injection lactated (RL) is the

preferred replacement fluid. Normal saline (NS) is the second fluid of choice.

MD0554

6-10

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