Rule of Nines Math Activity Answer the following math problems using the "Rule of Nines" found on page 11- 13 of the text. S

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Rule of Nines Math Activity Answer the following math problems using the “Rule of Nines” found on page 11- 13 of the text. Show all work What percentage of the body is burned if a 16 year old male burned his back, the back of his left leg, and his entire right arm? 1. Ianiga 2. Suzie, an active 6 year old, was burned while playing around a fireplace. (econ Her Nightgown caught on fire and she burned both legs, her back, her left arm, and one Side of her face. What percentage of body tissue was burned? A 25 year old involved in a car accident burned his chest and perineal areal. What percentage of his body was burned? 3. Marion was burned by exploding gas while trying to start his lawn mower. He burned both legs above the knees up through his chest, half of both of elanarms, and the perineal area. What percentage of his body did he burn? 4. et to abnemt oh5.Steven burned half of his chest, a third of his back, and two-thirds of his oleft leg. What percentage of his body is burned? of istanst ol nodes ea-s8(838) 1 sins ni uoy tu Males, 2 years of age, with a weight of 23 lbs. Burns on the face, neck thorax, both upper extremities. 6 INIVM Male 8 years of age, with a weight of 76 lbs. Bums on both posterior femoral (thigh) and legs, including both gluteus. page 11 Female 23 years of age, with a weight of 105 lbs. Burns on left upper extremity, Left pectoral region. 8. Male, 4 month infant, with a weight of 10lbs, Bums on right hand and right anterior thigh, leg and foot. 9 86 year old woman with a weight of 154lbs. Burns on RUQ and LUQ including the dorsal of the both upper extremities. 10. 13 year old females conjoined (Thoracopagus). Twin A’s weight is 87 lbs. and Twin B’s weight is 78 lbs. Bums on Left sagittal from head to toes 11 NORKSHEET Calculating Initial Fluid Resuscitation for Children 2cc x % TBSA burn x Weight (kg) 24 hr fluid estimate +2 co-24 hr fluid estimate Requirement for first 8 hours Requirement for eight hours 8(hr) cc/hr of Lactated Ringers “You must add this to the hourly maintenance fluids vou would normally calculate for an unburned child Maintenance Fluid Needs for 24 hours 0-10 kg = 100 cc per kg (1000 cc for first 10 kg) 11-20kg 21 kg and up- add 20 cc per kg add 50 cc per kg (500cc for 2d 10kg) Divide maintenance by 24 to get the hourly maintenance rate and then add this to your Pediatric Parkland to get the rate for the first hour Titrate IV to achieve and maintain a urine output 1cc per Kg (not to exceed 30 cc/hr) Inform MD if urine is red or brown in appearance. For children it is important to monitor serum glucose levels. Example: A 23 kg child sustains a 72 % burn. 2cc x 50% TBSA burn (stop at 50% for 72 % burn) x 23 (Weight) kg= 2,300 cc/24 hr fluid estimate. (24 hr. Fluid estimate) 2,300 +2 1,150 cc for 8 hrs 144 cc/hr of Lactated Ringers in addition to the maintenance rate 143.7 1,150 8 Maintenance Fluid Needs: 0-10 kg 100 cc per kg (1000 cc for the 1rst 10 kg) 11-20 kg 50 cc per kg (+500 cc for the 2nd 10 kg Above 20 kg= 20 cc per kg (+60 cc for the 3kg over 20) Total Maintenance is 1.560 cc in 24 hours This is 65 cc/hr Pediatric Parkland Plus Maintenance= 144 cc + 65 cc = 209 cc/hr for the first hour Titrate IV hourly up and down according to the previous hour’s urine output Goal is to achieve and maintain a urine output 1cc/kg (but not to exceed 30 cc/hr- take note for children >30 kg) Based on Parkland Formula for Pediatrics-1/2 of the Parkland formula plus calculated maintenance needs 13 Burn Center at Westchester Medical Center WORKSHEET Calculating Initial Fluid Resuscitation for Adults total fluid needs for 24 hours. 4cC x %TBSA burn (upper limit is 50 % ) x Weight (ka) To calculate initial IV fluid rate, follow and fill in the formula below. cc – total fluid needs, weight kg 4cc x % burn x need for first eight hours Total fluid needs +2 Then divide by eight to get, cc/hr of Lactated Ringers This rate is only an estimate, IV fluid rates should be titrated to achieve a urine output of 30 cc/hr (or 0.5 cckg/hr) Please inform MD if urine is red or brown in appeararice. Example: A 92 kg man sustains a 60 % TBSA burn. 4cc x 50 % burn x92 ka 18.400 cc total fluid needs for 24 hours. (Upper limit=50 % ) Total fluid needs +2 9.200 cc (fluid needs for the first eight hours) 9.200 cc 8(hr) 1,150 cc/hr of Lactated Ringers per hour- start this for the first hour Titrate the fluids hourly up and down according to the urine output of the hour before Goal is to achieve and maintain a urine output of 30 cc/hr. Based on the Parkland Formula for Adults mulug WTSICHESEER MONCAL CNTER 12 Ouater at Westchester Medical Center WORKS

 
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