Burn Navigator® User’s Manual
Page 29
Safety Features
The Burn Navigator comes with a number of safety features to help ensure the patient is
getting adequate fluid resuscitation without excessive fluids.
There are several safety rules included in the recommendation algorithm. For example:
•
The recommendations won’t change more than 40% from the last infusion rate.
•
The maximum recommendation is 2,000mL/hr, or 28.6*weight(kg), rounded down,
whichever is lower. For example:
o
40kg: 1,140mL/hr is the maximum recommendation
o
50kg: 1,430mL/hr
o
60kg: 1,710mL/hr
o
70kg or more: 2,000mL/hr
•
If the maximum recommendation is given twice in a row, the next recommendation
will not go above 1,750mL/hr (or 28.6*weight(kg), whichever is lower) and the
recommendation after that will not go above 1,500mL/hr (or 28.6*weight(kg),
whichever is lower).
•
During the first 8 hours post burn (HPB), the minimum rate is determined by the
2mL/kg/TBSA formula.
•
After 8 HPB, Burn Navigator will not make a recommendation lower than the
Minimum rate shown on the Patient tab.
•
Between 9 and 24 HPB: Burn Navigator will not recommend increasing the rate if the
projected 24-hour volume would overshoot the configurable projection cap. If the
projection at the last infusion rate already exceeds the cap, Burn Navigator will
recommend a rate decrease of at least 7% until the cap is no longer exceeded.
The Burn Navigator also includes several safety alerts, such as:
•
If the recommended rate e/- 25% from the last rate and is at least 100 mL/hr
change.
•
When the infusion rate has been over 1,000 mL/hr for 6 or more hours
