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.
