ICU... · Web viewUrinary Catheter with hourly monitoring device Urine Output: 0.5ml/Kg/hr No...
Transcript of ICU... · Web viewUrinary Catheter with hourly monitoring device Urine Output: 0.5ml/Kg/hr No...
Southmead ICU Burns Fluid Resuscitation Guideline
Lund-Browder Chart(Discount Erythema)
Estimated TBSA:
Revised Baux Score:
(Age + TBSA Burn + 17* (*Inhalational injury: 1 = yes, 0 = no)
Burn Area Assessment:
Use the modified Parkland Formula (3ml/kg/%TBSA Burns) to calculate an estimate of the amount of fluid required in the form of Hartmann’s over the first 24 hrs from time of injury
If
Urine Output or Blood Pressure targets not achieved: Albumin Rescue
Add 100 ml of 20% Human Albumin Solution (HAS) over 1 hour to fluid regimen
NB If patient cardiovascularly unstable consider other co-existing injuries and the need for alternative blood products.
No maintenance fluids required
Use 100ml 20% Albumin as fluid rescue (if available)
Urine Output:0.5ml/Kg/hr
Monitoring:
Arterial line
Urinary Catheter with hourly monitoring device
Fluid resuscitation with Hartmann’s solution
Adults > 15% TBSA burns require IV fluid resuscitation
3mls x weight(kg) x %TBSA burn = Total Fluid Volume (TFV) over 1st 24hrs from time of injury
Fluid for 1st 8hrs TFV ÷ 2 = Fluid for 9-24hrs TFV ÷ 2 =