Paano Kalkulahin si Parkland Formula
Ano ang Parkland Formula?
Parkland formula estimates fluid requirements for burn resuscitation. It guides IV fluid administration in the first 24 hours post-burn.
Pormula
Calculate: Volume (mL) = 4 × body weight (kg) × %TBSA burned
Step-by-Step na Gabay
- 1Calculate: Volume (mL) = 4 × body weight (kg) × %TBSA burned
- 2Give half in first 8 hours, half over next 16 hours
- 3Use Ringer's lactate; monitor urine output and adjust
Mga Nalutas na Halimbawa
Input
70 kg patient with 40% TBSA burn
Resulta
Total 24hr fluids = 11,200 mL; give 5,600 mL in first 8 hours
Using Ringer's lactate
Mga Karaniwang Mali na Dapat Iwasan
- ✕Including inhalation injury fluid in formula (requires separate consideration)
- ✕Forgetting to subtract pre-hospital fluids received
Mga madalas itanong
Why Ringer's lactate instead of normal saline?
Ringer's has lower sodium and adds lactate, better matching extracellular fluid and preventing hyperchloremic acidosis.
Is Parkland formula always accurate?
It's a starting estimate; titrate fluids based on urine output (0.5 mL/kg/hr) and clinical response.
Handa nang kalkulahin? Subukan ang libreng Parkland Formula Calculator
Subukan ito sa iyong sarili →