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Resuscitation Formulas

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Formula Fluid in First 24 Hours Crystalloid in Second 24-Hours Colloid in Second 24-Hours
Parkland RL at 4 mL/kg per percentage burn 20-60% estimated plasma volume Titrated to urinary output of 30 mL/h
Evans[2] NS at 1 mL/kg per percentage burn, 2000 mL D5W*, and colloid at 1 mL/kg per percentage burn 50% of first 24-hour volume plus 2000 mL D5W 50% of first 24-hour volume
Slater[2] RL at 2 L/24 h plus fresh frozen plasma at 75 mL/kg/24 h
Brooke[2] RL at 1.5 mL/kg per percentage burn, colloid at 0.5 mL/kg per percentage burn, and 2000 mL D5W 50% of first 24-hour volume plus 2000 mL D5W 50% of first 24-hour volume
Modified Brooke RL at 2 mL/kg per percentage burn
MetroHealth(Cleveland)

 

RL solution with 50 mEq sodium bicarbonate per liter at 4 mL/kg per percentage burn Half NS titrated to urine output 1 U fresh frozen plasma for each liter of half NS used plus D5W as needed for hypoglycemia
Monafo hypertonicDemling[19, 20] 

 

250 mEq/L saline titrated to urine output at 30 mL/h, dextran 40 in NS at 2 mL/kg/h for 8 hours, RL titrated to urine output at 30 mL/h, and fresh frozen plasma 0.5 mL/h for 18 hours beginning 8 hours postburn 

 

*D5W is dextrose 5% in water solution

One-third NS titrated to urine output

About Zahra Eghbalpoor

Zahra Eghbalpoor
Managing Member, Board of Directors

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