# A patient is brought into the emergency department after suffering from third degree burns in an explosion. The patient has burns on approximately 40 percent of his body. The nurse weighs the patient and notes that he weighs 170 lbs. Calculate the volume of IV fluid this patient must receive in the first 24 hours using the Parkland formula.

*Want to Take FREE Nursing Practice Questions?*

We have put together the World's Largest Bank of Nursing Practice Questions, and are letting you have access for FREE! You get to test out the system with 25 free nursing practice questions to start, and then memberships start at only a few bucks per month! Get started now for free - no credit card required!

### Correct

*- 12 L*

*- 4 L*

*- 8 L*

*- 16 L*

##### Rationale

"12 L" is correct. The Parkland formula is a method of calculating the amount of fluid needed for fluid resuscitation after a burn injury. To use the Parkland formula, the nurse must know the weight of the patient in kg and the approximate size of the burn. The Parkland formula is as follows: Fluid requirement (mL) = (4 mL of crystalloid) × (% TBSA burned) × body weight (kg). 170 lbs = 77 kg. Therefore, 4 x 40 x 77 = 12,320 mL fluid. So 12,000 mL = 12 L fluid needed in the first 24 hours. The first half of the result should be given in the first 8 hours, with the second half of the result given in the following 16 hours.

"4 L", "8 L" and "16 L" are incorrect. See calculation in the correct answer rationale for details.

**References:**

Schraga, E., MD. (2017, September 08). Emergent Management of Thermal Burns . Retrieved from https://emedicine.medscape.com/article/769193-overview

### How Would You Rate The Quality of This Question?

We’re always trying to improve, so your feedback is vital to helping us make this resource as good as possible. Was it well written? Good content?

### How Other Nurses Stack Up

Answered The Question Correctly.