park land formula - djyoti

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AND BURN MANAGEMENT

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4ml/ % burn area(upto maximum of 50%) /kg body weight of ringer lactate without sugar (no sugar to avoid osmotic diuresis with glycosuria..would confuse urine output interpretation ) + 2l of 5% dextrose with water (coz patient is npo for first couple of days)

give 1/2 of this in first 8 hrs

then 1/4 in next 8 hrs

and last 1/4 in last 8 hrs.

second day - half qt as above. can even use colloid.

from third day, you can stop iv fluids and expect brisk diuresis..

for babies, since they need more fluid, calcuate 4-6ml/ %/kg and rest is same.