Burns fluid resuscitation

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					BURNS SURFACE AREA …………………….. %                                                  TIME IV COMMENCED ……………………. 24 HR CLOCK
TIME OF BURN ………………….. 24 HR CLOCK                                               DATE ……………………………….
WEIGHT IN KG …………………….
A.    BURN RESUSCITATION                                                1st 24 HOURS              1st 8 HOURS                2nd 8 HOURS               3rd 8 HOURS
*     3 X kg X % = ……..mL                                                  (volume)                 (volume)                   (volume)                  (volume)
      TYPE OF INFUSION                                                                          ½ of 24 hr vol.            ¼ of 24 hr vol            ¼ of 24 hr vol
**    1. 4% Normal Serum Albumin Solution                             ________ mL               __________ mL              __________ mL             __________ mL
***      (NSAS)
      2. Remainder as Hartmann’s Solution                             ________ mL               __________ mL              __________ mL             __________ mL
         50% of each type solution is used
         concurrently
                                                                                                1                          1                         1
B.    MAINTENANCE FLUID                                                                          /3 of 24 hr vol.           /3 of 24 hr vol.          /3 of 24 hr vol.
      See oral fluids information below
      1/2N saline in 5% dextrose (estimated volume on
      body wt in kg)                                                  ________ mL               __________ mL              __________ mL             __________ mL


                   TOTAL A & B
         BURN RESUSCITATION + MAINTENANCE
                      FLUID

URINARY OUTPUT EXPCTED 0.75mL/kg/hr - ______________ mL

ORAL FLUIDS:    Most children with burn injury tolerate oral fluids. Initially all children may be offered small amounts of milk and if tolerated the quantity is increased
                at hourly intervals. Usually after a few hours the patient is receiving most maintenance fluid by mouth except for those patients with very severe
                burns
                IF ORAL FLUIDS NOT TOLERATED SEE (B) ABOVE
NOTES:          * In less severe burns 2mL X 1% in the first 24 hours may be sufficient
                ** Normal Serum Albumin Solution (NSAS) in interspersed and not given as one bolus
                *** If no Hartmann’s available use normal saline
2nd 24 HOURS:   After the initial 24 hours of fluid replacement, the type of fluid replacement will depend on urinary output, serum electrolytes and haemoglobin. The
                volume of resuscitation fluid is approximately 1/2 that given in the first 24 hours