d. EXAMPLE #3. A male casualty has sustained second- and third-degree
burns over 35 percent of his body. He weighs 180 pounds.
24 hours. Calculate the amount of fluid to be given in each of
the three 8 hour periods.
SOLUTION:
STEP 1. TBSA burned is 35 percent.
STEP 2. 180 lbs divided by 2.2 = 81.8 kg (weight in kg)
STEP 3. Calculate by formula:
4cc X TBSA X weight in kgs = fluid
4
X 35
X 81.8
= 11,452 cc (in first
24 hours.
STEP 4. Calculate fluid replacement in each 8 hr period.
First 8 hrs. Half of first 24-hr fluid replacement
11,452 divided by 2 = 5,726 cc (fluid replacement in
first 8 hours)
Second 8 hrs. Fourth of first 24-hr fluid replacement
11,452 divided by 4 = 2,863 cc (fluid replacement in
second 8 hours)
Third 8 hrs. Fourth of first 24-hr fluid replacement
11,452 divided by 4 = 2,863 cc (fluid replacement in
third 8 hours)
(Check: 5,726 cc + 2,863 cc + 2,863 cc = 11,452 cc)
MD0576
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