b. EXAMPLE #1. The patient is a 24 year old male who was burned by a
chemical. He sustained second- and third-degree burns covering 35 percent of his
body. He weighs 165 pounds.
24 hours. How much fluid should he receive in the first 8 hours?
SOLUTION:
STEP 1. TBSA burned is 35 percent.
STEP 2. 165 lbs divided by 2.2 = 75 kg (weight in kg)
STEP 3. Calculate by formula:
4cc X TBSA X weight in kgs = fluid
4
X 35
X 75
= 10,500 cc (in first
24 hours.
STEP 4. Calculate fluid replacement in first 8 hours.
Half of first 24-hr fluid replacement
10,500 divided by 2 = 5,250 cc (fluid replacement in
first 8 hours)
MD0576
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