c. EXAMPLE #2. The patient is a 22 year old female who was burned in a
house fire. She sustained second- and third- degree burns covering 70 percent of her
body. She weighs 130 pounds.
24 hours. How much fluid should she receive in the first 16
hours?
SOLUTION:
STEP 1. TBSA burned is 70 percent.
STEP 2. 130 lbs divided by 2.2 = 59 kg (weight in kg)
STEP 3. Calculate by formula:
4cc X TBSA X weight in kgs = fluid
4
X 70
X 59
= 16,520 cc (in first
24 hours.
STEP 4. Calculate fluid replacement in first 16 hours.
First 8 hrs. Half of first 24-hr fluid replacement
16,520 divided by 2 = 8,260 cc (fluid replacement in
first 8 hours)
Second 8 hrs. Fourth of first 24-hr fluid replacement
16,520 divided by 4 = 4,130 cc (fluid replacement in
second 8 hours)
8,260 cc + 4,130 cc = 12,390 cc fluid replacement in
first 16 hours)
MD0576
3-29
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