What it means
The most used guide for fluid resuscitation after a large burn. The total, given as lactated Ringer's, is counted from the time of the burn, not the time of arrival: half is given in the first 8 hours and the other half over the next 16 hours. Only partial- and full-thickness burns are counted in the percent. It is named after Parkland Memorial Hospital in Dallas, where Dr. Charles Baxter developed it.
For the nurse
The formula is only a starting point. Adjust the rate as ordered to keep urine output at about 0.5 mL/kg/hour (30–50 mL/hour) in an adult, and watch for both too little and too much fluid.
In a chart
"70 kg adult, 40% TBSA: 4 × 70 × 40 = 11,200 mL LR in 24 hours; 5,600 mL in the first 8 hours from time of burn."
At a glance
| Also written | Baxter formula, Parkland burn formula |
|---|