Bedside Tool for Nurse Driven Burn Resuscitation Protocol

(Source: Critical Care Nurse Feb 2013)

0300
Time of Injury (A)_______________

0500
Admission Time (B) ______________ 2
Total Hours Since Injury (B – A) _______________

70 in
Height _______________/Weight 168 lbs
___________/BSA 1.9382 m2
_____________

600
Pre-Admission Fluids ________________ (total mls)

45
Burn TBSA (%) _________________

Parkland Formula

76.2
4 ml x _______________ kg x 45
_____________% 13,716
Burn TBSA = ____________ ml/hr
(24 hr fluid total)

6858
1st 8 Hrs = (1/2) _____________ 600
ml - Pre-admission Fluid ___________ / 8 (8 hrs. from time of
782.3
injury) = LR @ _____________ ml/hr

6858
16 Hrs = (1/2) ______________ 428.6
ml / 16 (hrs) = _______________ml/hr

FFP Formula

76.2 kg = _________________
100 ml x ______ 7620 ml (Ivy Score)

FFP Start Time:

600
100 ml x _____ - Pre-admission Fluid __________ ml/ first 8 hr rate ____________ = ________ hrs

Start FFP at _______ hours after admission

FFP Infusion Rate

76.2
0.5 ml x _________ 45
kg x ______________% 214.3
Burn TBSA/ 8 hours = _________________ ml/hr

214.3
FFP Infusion Rate _____________ml/hr

Maintenance Rate
D51/2NS + 20 mEq KCl

76.2 kg + 40 ml + 25 + ________
_____ 45 360.9
% Burn TBSA (insensible loss) x BSA (m2) = ______ml/hr

360.9
Minimum Hourly Infusion Rate _________________ ml/hr*

*Notify MD prior to decreasing this rate.

Ivy Score (ml/kg): 250 ml/kg = Bladder Pressure 24 mm Hg = Abdominal Compartment Syndrome