Question

a patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to both upper extremities and chest with a total body surface area burned of 27%. how much intravenous fluid should be administered in the first 8 hours?

Answer 1

To treat the patient with 27% TBSA burns, 6,480 mL of intravenous fluids should be administered in the first 8 hours, calculated using the Parkland formula.

Step-by-step explanation:

The patient's intravenous fluid requirements are calculated using the Parkland formula, which is a guide used to determine the total fluid needs in the first 24 hours after a burn. The formula is 4 mL of crystalloid (lactated Ringer's solution) per kg of body weight per percentage of total body surface area (%TBSA) burned. For the first 8 hours, half of the total calculated amount is administered.

Here's the calculation for the given patient:

• Total fluid requirement in 24 hours = 4 mL/kg x body weight (kg) x %TBSA burnt
• Total fluid requirement in 24 hours = 4 mL/kg x 120 kg x 27%
• Total fluid requirement in 24 hours = 4 x 120 x 27 = 12,960 mL
• Fluid requirement in the first 8 hours = half of the total 24-hour requirement
• Fluid requirement in the first 8 hours = 12,960 mL / 2
• Fluid requirement in the first 8 hours = 6,480 mL

Therefore, the patient should be administered 6,480 mL of intravenous fluids in the first 8 hours following the burn injury.

Answer 2

For a 120 kg patient with 27% TBSA burns, the Parkland formula indicates administering 6480 mL of intravenous fluids in the first 8 hours.

Step-by-step explanation:

A patient weighing 120 kg who has sustained partial thickness burns over 27% of the total body surface area requires calculation of the required intravenous fluids using the Parkland formula. The Parkland formula suggests 4 mL of crystalloid (Ringer's lactate) per kg of body weight per percentage of total body surface area (%TBSA) burned. For the first 24 hours, the calculated amount is then divided, with half of the volume given in the first 8 hours from the time of the burn, and the remainder given over the subsequent 16 hours.

Using the formula: Fluids needed for 24 hours = 4 mL/kg x body weight (kg) x %TBSA burned. This patient would require:
4 mL/kg x 120 kg x 27% = 12960 mL for 24 hours. Half of this volume, which is 6480 mL, should be administered in the first 8 hours following the burn.