Fluid Resuscitation - Hospital Treatment

Undertake IV fluid resuscitation if:

• % BSA is greater than 20% in otherwise healthy individuals

• % BSA is greater than 10% in young, elderly, or those with compromising medical conditions

Modified Parkland Formula

2.0 - 4.0 ccs Ringers Lactate X % BSA X Lean Weight per 24 hours

calculate deficit from the time of the injury and replac eit using this as Time Zero.

Give 1/2 the calculated volume in the first 8 hours, and the 2nd half over the remaining 16 hours.

Children require maintenance fluids in addition to therapeutic requirements, based on the following:

• Less than 10 kg - 4.0 cc/kg/hr
• 10 - 20 kg - 2.0 cc/kg/hr
• over 20 kg - 1 cc/kg/hr

Infants are very prone to hypoglycemia due to limited glycogen stores and therefore should be resuscitated with D5RL as well as having frequent glucometer checks.

See also:

Urine Output

Clinical Assessment of Euvolemia

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