Question

A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter) formula for fluid replacement, how many cc/hr should the nurse administer in the first 8 hours? [TBSA burned × Wt (kg) × 4 mL]

A) 68,000 cc/hr
B) 102,000 cc/hr
C) 136,000 cc/hr
D) 170,000 cc/hr

Answer 1

The nurse should administer 170 mL/hr of fluid using the Parkland formula for fluid replacement in a burn patient.

Step-by-step explanation:

The Parkland (Baxter) formula is used for fluid replacement in burn patients. The formula is TBSA burned x Wt(kg) x 4 mL.

In this case, the patient's TBSA is 50% and their weight is 68 kg. So, the calculation would be: 50% x 68 kg x 4 mL = 1360 mL.

The fluid should be administered in the first 8 hours, so we need to divide the total volume by 8: 1360 mL / 8 hours = 170 mL/hr.