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A different patient had been admitted before your shift, and you are reading their chart. They have been in treatment for 8 hours, so it is time to change their fluid intake.

[tex]\[
\begin{tabular}{|c|c|}
\hline
Part of Body & Burned? $(1=$ yes, $0=$ no $)$ \\
\hline
Head & 0 \\
\hline
Left Arm & 0 \\
\hline
Right Arm & 1 \\
\hline
Upper Front Torso & 0 \\
\hline
Upper Back Torso & 1 \\
\hline
Lower Front Torso & 1 \\
\hline
Lower Back Torso & 1 \\
\hline
Upper Left Leg & 1 \\
\hline
Upper Right Leg & 1 \\
\hline
Lower Right Leg & 1 \\
\hline
\end{tabular}
\][/tex]

Given that this patient's weight/mass is 71 kg, determine how much fluid they should receive per hour in the next 16 hours of their care. Answer to the nearest hundredth of a liter (two decimal places).



Answer :

GinnyAnswer
Certainly! Let's follow the steps to determine the fluid intake for the patient according to the given information:

1. Identify the Burned Parts and their Corresponding Surface Area Percentages:
- Right Arm: 1 (Burned)
- Upper Back Torso: 1 (Burned)
- Lower Front Torso: 1 (Burned)
- Lower Back Torso: 1 (Burned)
- Upper Left Leg: 1 (Burned)
- Lower Right Leg: 1 (Burned)
- Upper Right Leg: 1 (Burned)

Each part typically represents the following surface area percentages (Rule of Nines for adults):
- Head: 9%
- Left Arm: 9%
- Right Arm: 9%
- Upper Front Torso: 9%
- Upper Back Torso: 9%
- Lower Front Torso: 9%
- Lower Back Torso: 9%
- Upper Left Leg: 9%
- Lower Right Leg: 9%
- Upper Right Leg: 9%

2. Calculate the Total Burn Percentage:
[tex]\[ \text{Total Burn Percentage} = 9 + 9 + 9 + 9 + 9 + 9 + 9 = 63\% \][/tex]

3. Use the Parkland Formula to Calculate Total Fluid Requirement for the First 24 Hours:
The Parkland formula is:
[tex]\[ \text{Total Fluids in 24 hours} = 4 \times \text{Body Weight (kg)} \times \text{Total Burn Percentage (\%)} \][/tex]
[tex]\[ \text{Total Fluids in 24 hours} = 4 \times 71 \times \frac{63}{100} = 4 \times 71 \times 0.63 = 178.92 \text{ liters} \][/tex]

4. Calculate the Fluids Given in the First 8 Hours:
[tex]\[ \text{Fluids in First 8 Hours} = \frac{\text{Total Fluids in 24 Hours}}{2} = \frac{178.92}{2} = 89.46 \text{ liters} \][/tex]

5. Calculate the Remaining Fluids to be Given in the Next 16 Hours:
[tex]\[ \text{Remaining Fluids in Next 16 Hours} = 178.92 - 89.46 = 89.46 \text{ liters} \][/tex]

6. Calculate the Fluid Intake Per Hour for the Next 16 Hours:
[tex]\[ \text{Fluid Per Hour for Next 16 Hours} = \frac{\text{Remaining Fluids in Next 16 Hours}}{\text{Next 16 Hours}} = \frac{89.46}{16} = 5.59 \text{ liters} \][/tex]

So, the patient should receive 5.59 liters per hour in the next 16 hours of their care.

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