Parkland formula for kids

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If anyone could give me a heads up on this I would appreciate it.

I am trying to find how the parkland formula differs with kids. I have the adult down, and I know the difference in body ratio per body part on a kid. What I have not been able to figure out is if there is a difference in the equation when it comes to the 4ml. (or if there is anything I should know in terms of treating a child differently than an adult).

Thanks

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Specializes in PICU, Sedation/Radiology, PACU.

In children, each leg accounts for 14% TBSA, and the head accounts for 18%. These are the only percentage differences for children.

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In children, each leg accounts for 14% TBSA, and the head accounts for 18%. These are the only percentage differences for children.

Thank you, but I was referring to the amount of fluids you would give them. Do you still multiply by the same - Kg X 4ml X burn percentage?

Also if there is any other major difference between caring for children or adults with burns?

I assume you would still start with LR and move to saline if K got too high?

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Specializes in PICU, Sedation/Radiology, PACU.

I believe in children you also give maintenance fluids in addition to the volume calculated, but there isn't a change with the formula itself. The Burn Nursing forum may have good insight for your other questions.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Fluid resuscitation guidelines for pediatric burn patients with burns larger than 15% TBSA: Modified Parkland formula (Parkland formula plus maintenance fluids, used in patients who weigh less than 20 kg)

Several burn resuscitation formulas can be used in pediatric burn care; the modified Parkland formula is most commonly used. Lactated Ringer solution is initially used in pediatric patients of all ages at 3-4 mL/kg for each 1% of TBSA burned for the first 24 hours. One half of the calculated amount of fluid needed is administered in the first 8 hours after the burn occurs, and the remaining half is administered over the following 16 hours. Maintenance fluids should be administered concomitantly (this represents the modification to the Parkland formula for pediatric patients).

Representative fluid resuscitation guidelines for pediatric burn patients with burns larger than 15% TBSA are as follows:

  • Modified Parkland formula (Parkland formula plus maintenance fluids, used in patients who weigh less than 20 kg)

  • Resuscitation fluids - 3-4 mL lacted Ringer solution × weight (kg) × %TBSA burned (second-degree and third degree), with half administered over the first 8 hours (from the time of injury) and the remaining half administered over the next 16 hr

  • Maintenance fluids - Lacted Ringer solution with 5% dextrose at 4 mL/kg/hr for patients weighing 0-10 kg, plus 2 mL/kg/hr for those weighing 10-20 kg, plus 1 mL/kg/hr for each 1 kg above 20 kg

Surgical Treatment of Burns in Children Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy
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