ipl-logo

The Parkland Formula

790 Words4 Pages

The Parkland Formula for burns was developed by Dr. Charles R. Baxter in 1968, when he realized that burn patients need a massive amount of fluids in the first twenty four hours to remain hemodynamically stable. Dr. Baxter and some other doctors came up with a fast and easy formula. The formula is 4mlxBSA(%)xWeight(kg), there are many examples online or using a smart phone to learn and use this formula. This formula works well in a hospital settings along with many other formulas I have learned about but in the field as a paramedic under a lot of stress dealing with a suaver burn patient it could be difficult to do this formula fast. The next few paragraphs I will be going over the types of fluids used for burn patients and a standard way that …show more content…

I believe the Parkland Formula is a good formula for a hospital setting. There are many other formulas out there to use but most of them are semular to the Parkland formula with as much math involved or more, some examples are the Evans Formula, Brooks Formula or Monafo Hypertonic Formula. These formulas are more designed for hospital settings using crystalloids with colloids over a period of time, this can be very helpful for the pt to replenish the patients fluids and to give the patient the best recovery after a major burn. In a prehospital setting this can be very hard to accomplish so that is why is don’t recommend any other formulas that I found. The system I prefer is form the Victoria Fire Department protocol over burns. The protocol has a standard system depending on the patients age to give an amount of fluids over an hour. This protocol uses normal saline instead of lactated ringers due to the department doesn’t carry lactated ringers. The protocol states to give two large bore IV's and infuse a total 124cc per hour of normal saline to pt that is less then the age of five. A patient from the age of six through thirteen give the pt 250cc per hour and a patient above the age 13 give the pt 500cc of fluid per hour. Why do I prefer this standard over other formulas is cause how easy it is to use and remember it takes the stress out of doing math during a stressful call. Using the patients age to determine the amount of fluids over his or her weight like in the parkland formula is easier due to if the patient is unconscious and his or her weight can not be

Show More
Related

  • Vit K1 Task 5

    890 Words  | 4 Pages

    Assess for prothrombin time during treatment (2 sec deviation from control time, bleeding time, and clotting time); monitor for bleeding, pulse, and BP. Assess for nutritional status: liver (beef), spinach, tomatoes, coffee, asparagus, broccoli, cabbage, lettuce, greens. Administer IV route after diluting with D5, NS 10 ml or more give 1 mg/min or more. IV route only when other routes not possible (deaths have occurred). Perform/provide Store in tight, light-resistant container Evaluate

    Read More

  • Psy 270 Week 4 Nursing Research Questions

    114 Words  | 1 Pages

    Your research question is one most nurses have questioned at some point in their career. I have felt the feeling of annoyance and dread when starting my shift and realizing that my elderly patient has an IV that was placed 4 days ago, and per policy it must be changed today. Sticking the patient again for a new IV seems cruel when the old is still functioning correctly. Many times, I have questioned if the benefits really outweigh the risks of starting a new IV simply because the old is expired.

    Read More

  • Psy/300 Week 2

    618 Words  | 3 Pages

    The patient follows the doctor’s recommendation for completing blood work to ensure the medication is consistently within the therapeutic level. Therefore, the International Normalized Ratio (INR), prothrombin time

    Read More

  • Analysis Of The Central Park 5

    699 Words  | 3 Pages

    Watching Ken Burn’s The Central Park 5, a viewer can easily see the vulgarity and vitriol which fueled the case and think, even hope that this sort of treatment of black and Latino American youths would be intolerable in modern America. This documentary chronicles the case, dubbed by the media as the Central Park Jogger, which involved the violent rape of a white female jogger in Central Park on April 19, 1989 and the wrongful conviction of five boys of color. The jogger, a 28-year old investment banker of the Upper East Side was so brutally beaten that she was in a coma for twelve days, and her assault became a huge media spectacle. This case exacerbated racial tensions in a crime-driven, poverty-stricken New York City, and revealed the prejudices

    Read More

  • Sepsis Bundle On Mortality Rates: A Case Study

    642 Words  | 3 Pages

    The Effects of Sepsis Bundle on Mortality Rates: Background and Significance Historians in the medical field such as Hippocrates and Pasture have referenced symptomologies associated with sepsis of today (Angus & Van der Poll, 2013). Sepsis received its official definition of severe sepsis and septic shock in 1992; with terminology being based on the accompanying disease processes present (Angus & Van der Poll, 2013). The definition of severe sepsis indicates the presence of organ dysfunction along with sepsis. Additionally, septic shock is related to the presence of hypotension not responding to fluid resuscitation (Cawcutt, & Peters, 2014). A diagnosis of severe sepsis or sepsis shock has an increased risk of patient mortality, length of stay, and a higher probability of long-term disability (Cawcutt & Peters, 2014; Whittaker, et al. 2015).

    Read More

  • Suffering The Deer By Alan Mcdonald's

    579 Words  | 3 Pages

    One main theme present in this essay is the fact that suffering is inevitable. Everyone goes through their own type of suffering. In the essay, the deer was tied up and it was struggling to be let free, where as Alan McDonald was suffering as he was burnt two times. At a closer view, all of the travellers were also suffering mentally. They very much wanted to free the deer

    Read More

  • Data Standardization In Healthcare Case Study

    947 Words  | 4 Pages

    QUESTION: Why is data standardization becoming so important in healthcare organizations? ASSIGNMENT Week 5: HIT Governance and Decision Rights February 06 to February 12 Name of Student Pranali R. Chavan Name of Instructor Mohammad Bajwa Name of College Metropolitan college of New York Name of the course HSM 725 SEL/LECT/MHV1-2017/SPRING/01 - Healthcare Technology Management Why is data standardization becoming so important in healthcare organizations? Pranali R. Chavan and Mohammad Bajwa School of Business, Metropolitan college of New York -Assignment Hello... hope all fine Standardization is a hot topic in today’s healthcare industry.

    Read More

  • Death With Dignity Act: An Ethical Analysis

    648 Words  | 3 Pages

    These protocols are to be met to provide patient comfort and avoid disaster. The Death

    Read More

  • Medication Administration Reflection

    750 Words  | 3 Pages

    I have also read about methods of administration which some literature provides evidence of 5Rs and others give as much as 10RS. Whichever way of dispensing the initial 5RS is the basic for individual to familiarize. There are other things that needs to be considered such as washing hands prior to administering, check the drug chart, the right patient, right drug, right route, right amount/dosage, the history or background record of the patient, allergy or intolerance}, the right education provided to the patient, documenting as given, documenting refusal and right evaluation. On the other hand, I need to have that self-awareness of which patient is in the medication room and know how to talk

    Read More

  • Chemical Attacks: The HAZMAT Team

    1062 Words  | 5 Pages

    Additionally, area hospitals should prepare decontamination zones in the hospital for treating patients and ensure protection of other patients in the hospital. Some chemicals will involve medical staff administering an antidote on scene and provide emergency care, such as medication or oxygen, to save lives (Forest & Howard, 2013). Moreover, Triage areas will need to be set-up at the scene to treat those with the supplies available and ensure that patients needing more thorough medical care can be transported to area hospitals. Some instances may require remote treatment locations to assist medical personnel in treatment of patients and prevent overcrowding in hospitals (Forest & Howard, 2013). While this would require the assistance of additional medical personnel, it can help to save lives after the attack.

    Read More

  • Hourly Rounding Essay

    922 Words  | 4 Pages

    A rounding log has been developed and will be placed on the board in each patient’s room. It is to begin when the patient arrives on the unit and continue until discharge. The nurse will inform the patient of

    Read More

  • Clinical Audit Assignment

    2077 Words  | 9 Pages

    This should also be asked to the patient on every drug round as new drugs can be described at any time. The patients’ weight should be recorded on the kardex also as certain drugs are given according to weight such as Infliximab and their weight will determine the required

    Read More

  • Nursing Case Study Essay

    1118 Words  | 5 Pages

    The desired outcome will be having the patient with clear lung sounds, edema free and denies dyspnea on exertion. To achieve these outcomes we need to monitor body weight daily, ? changes in bodyweight reflect changes in body fluid volume? (Methney, 2010). Mean time we need to monitor extension and location of edema?

    Read More

  • Heat Stress Research Paper

    1065 Words  | 5 Pages

    A year later, Khogali and Al-Khawashki (1984), reported a similar cooling rate (0.050C/min) when the BCU was used to cool 174 cases of heat-stroke patients [10]. The BCU is also used to cool patients with exertional heat stress in Singapore. An analysis of 12 cases back in 1996 was conducted. In 4 cases, their rectal temperature increased during BCU treatment.

    Read More

  • The Importance Of Therapeutic Drug Monitoring

    1223 Words  | 5 Pages

    When interpreting concentration measurements, factors that need to be considered include the sampling time in relation to drug dose, dosage history, patient response, and the desired medicinal targets. The goal of therapeutic drug monitoring is to use suitable concentrations of difficult-to-manage medications to optimize clinical outcomes in patients in various clinical situations. Keywords: Drug monitoring, therapeutic; Pharmacokinetics Introduction Therapeutic drug monitoring is generally defined as the measurement of specific drugs at timed intervals in order to maintain a relatively constant concentration of the medication in the bloodstream. Monitored drugs tend to have a narrow therapeutic index, that is a ratio between the toxic and therapeutic doses of medications.

    Read More

More about The Parkland Formula

Open Document