A.N. is undergoing burn fluid resuscitation using the standard Baxter (Parkland) formula
She was admitted at 0400 . She weighs 154 pounds.
Calculate her fluid requirements, specify
the fluids used in the Baxter (Parkland) formula, specify how much will be given, and
indicate what time intervals will be used.
• Crystalloids are the fluids of choice during the first 24 hours. LR is the fluid used in the Baxter
(Parkland) formula. The calculation for fluid needs during the first 24 hours is 4 mL× weight in
kg× percentage of body surface area burned. In this case, 4× 70× 45 = 12,600 mL of LR.
• The first half will be given during the first 8 hours since the time of the burn, so 6300 mL will be
given by 1000 . In the next 8-hour period (1000 to 1800), half of the remaining fluid (3150 mL) will
be given. The same amount will be given during the last 8-hour period (1800 to 0200).
• Crystalloids and colloids will be used in the next 24-hour period.
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