Fluid replacement during the first 12 hours in a burn patient weighing 60 kg and having 40% burns is:

Answer: 6000 mL
Explanation

Let's re-calculate the fluid requirement using the Parkland formula to confirm the fluid replacement for the first 12 hours.

The Parkland formula is:

Total fluid requirement in 24 hours = 4 x body weight in kg x % TBSA burned

For a 60 kg with 40% Total Body Surface Area (TBSA) burned:

1. Calculate the total fluid requirement for the first 24 hours:

Total fluid = 4 x 60 x 40

Total fluid = 9600 mL

2. Half of this amount is given in the first 8 hours.

3. The remaining fluid (4800ml) is given over the next 16 hours.

To find the fluid replacement for the first 12 hours:

First 8 hours: 4800 mL

Next 4 hours (which is one-fourth of the remaining 16 hours fluid)

Next 4 hours = 4800/4 = 1200 mL

Therefore, the total fluid replacement during the first 12 hours is:

First 8 hours + next 4 hours = 4800 mL + 1200mL = 6000 ML

So the fluid replacement during the first 12 hours for a burn patient weighing 60 kg and having 40% burns is 6000mL

Total fluid requirement in 24 hours=4×body weight in kg×%TBSA burnedTotal fluid requirement in 24 hours=4×body weight in kg×%TBSA burned

This question appeared in Past Papers (3 times)
Women Medical Officer WMO Past Papers and Syllabus (1 times)

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