We appreciate your visit to Part 1 Fluid Requirement The fluid requirement for any patient with body weight over 20 kg is 1500 ml 20 ml kg above 20 kg. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!
Answer :
Final answer:
The required fluid volume for a 160-lb patient is 2955 ml. The total daily expenditure of an ambulatory person with burns is approximately 2531 kcal.
Explanation:
The fluid requirement for any patient with a body weight over 20 kg is calculated as "1500 ml + 20 ml * kg above 20 kg". To find the required fluid volume for a 160-lb patient, we need to convert the weight from pounds to kilograms. Since 1 lb is approximately 0.454 kg, the weight of the patient is 160 lb * 0.454 kg/lb = 72.64 kg. Now we can calculate the fluid requirement as 1500 ml + 20 ml * (72.64 kg - 20 kg) = 1500 ml + 20 ml * 52.64 kg = 2955 ml.
For calculating the total daily expenditure of an ambulatory person with burns, we need to use appropriate equations. The equation for a male is BMR (Basal Metabolic Rate) = 66.47 + 13.75 * (weight in kg) + 5 * (height in cm) - 6.75 * (age in years). The BMR is then multiplied by an activity factor to get the total daily expenditure. For burns, we need to use the stress factor as the activity factor. For a person with burns, the stress factor is usually between 1.35 and 2.1. Let's assume a stress factor of 1.5 for this calculation. The BMR for the given information is BMR = 66.47 + 13.75 * (72.64 kg) + 5 * (185 cm) - 6.75 * (45 years) = 66.47 + 1000.4 + 925 - 303.75 = 1687.12 kcal. The total daily expenditure is then calculated as 1687.12 kcal * 1.5 = 2530.68 kcal, which can be rounded to 2531 kcal.
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