Question

Using the parkland formula, calculate the hourly rate of fluid replacement with lactated ringerâs solution during the first 8 hours for a client weighing 75 kg with total body surface area (tbsa) burn of 40%. record your answer using a whole number.

Answer 1

The Parkland formula is
V = 4mA
where
V = volume of replacement fluid (mL) required within the first 24 hours after a burn injury,
m = body mass, kg
A = percent of body surface area covered with burns.
The first half of the fluid should be delivered in the first 8 hours.

Because we are concerned with fluid replacement within the first 8 hours, the Parkland formula is valid to be used.

Given:
m = 75 kg
A = 40%

Therefore
V = 4*75*40 = 12,000 mL = 12 L
This is the fluid replacement required in the first 24 hours.

Because half of this amount should be delivered in the first 8 hours, the amount of fluid replacement is
6,000 mL in 8 hours, or
6000/8 = 750 mL per hour.

Answer: 750 mL every hour