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