Apr16 M1-Burns

Question 1

(EXAM) Parkland formula for how to ressuscitate a patient with burns

Answer 1

• IV Ringer’s lactate= 4 cc x weight in kg x % of burned body surface area (you put 70 if 70%, not 0.7)
• give this IV NS in 24 hours but half must be given in first 8 hours

Question 2

(EXAM) when use Parkland formula, with what fluid do you ressuscitate

Answer 2

Ringer’s lactate bc NS is hyperchloremic (more Cl than in our body) and so Ringer’s lactate is more isotonic

Question 3

(EXAM) when you use Parkland formula, when do you give the Ringer’s lactate volume you determined

Answer 3

• must give it all in 24 hours

- must give half of it in first 8 hours

Question 4

(EXAM) how to estimate burn surface % of TBSA

Answer 4

• palm of the hand = 1% = use as reference
• genitalia = 1%
• rule of nines: head = 9%, thorax = 18%, back and butt = 18%, each arm = 9%, each leg = 18%

Question 5

(EXAM) guidelines as to when to send patients to burn center (9)

Answer 5

• age 11 to 49 with 2nd or 3rd degree TBSA>20%
• age <10 or >50 with 2nd or 3rd degree TBSA >10%
• 3rd degree burn TBSA>5%
• 2nd or 3rd degree burn to face, hands or genitalia
• electrical or chemical burn
• circumferential burn
• burn in pt with systemic condition so prolonged recovery and complicated management
• severe burn with trauma
• hospitals with children burn pt that don’t have proper personnel or equipment