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.

 

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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

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