Case (44)

[dr-awale]

3 yrs old female child admitted to our hospital with burn on the chest, abdomen and anterior part of lower limbs.
on the first day we gave her appropriate treatment, next day she developed convulsion.
1.what is the percentage of body surface area burned?
2.what is the amount of fluid needed to give in the first 24 hrs and how?
3.what do you think, why she developed this convulsion?

[Yaxya]

i think the BSA% burned is 35.5% about the fliud ther are many diffrent regimes some favour the use of colloid soultion like FFP or human albumin but in genral they give intially as bollus 20ml/kg   of RL then we use the following formula:
24h replacement=body weight in (kg)* 4* BSA so half of this amount given in first 8 hrs the remainig given in next 16 hrs.finally i think the cause of the convultion is infective and the most common cause is tetanus

[dr-awale]

thank u dr for u' re zuhdak, u get 15 mark .