Using the modified Brooke formula, how much IV solution will be administered in the first 8 hours to a patient with 40% TBSA and weighing 52 kg?

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To determine the amount of IV solution to be administered in the first 8 hours using the modified Brooke formula for a patient with 40% Total Body Surface Area (TBSA) burned and a weight of 52 kg, the calculation involves a few steps.

The modified Brooke formula suggests the following:

  1. Start with a total fluid requirement of 2 to 4 mL of fluid for each kilogram of body weight for each percentage of TBSA burned. The modified Brooke formula commonly uses 2 mL/kg/%TBSA for initial fluid resuscitation.

  2. For this patient, the calculation will be:

  • 2 mL/kg/%TBSA = 2 mL x 52 kg x 40 (the percentage of TBSA burned).

  • This calculation would yield: 2 mL x 52 x 40 = 4160 mL for the first 24 hours.

  1. Since the total volume calculated is for 24 hours, to find out how much fluid should be given in the first 8 hours, divide the 24-hour fluid requirement by 3 (since 24 hours divided by 8 hours gives a total of 3):
  • 4160 mL ÷
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