Question

An adult patient is brought into the ED after suffering from third degree burns in an explosion. The patient has burns on approximately 42 percent of his body. The nurse weighs the patient and notes that he weighs 78 kg.

A: Calculate the rate of IV fluid this patient must receive in the first 24 hours using the Parkland formula
B: What is the mL/hr to be infused in the first 8 hours after arrival.

Answer 1

Using the Parkland formula for a 42% TBSA burn on a 78 kg patient, 13,104 mL of IV fluid is required in 24 hours, with 819 mL/hr to be infused in the first 8 hours.

Step-by-step explanation:

To calculate the rate of IV fluid administration for a burn patient using the Parkland formula, you would use the following equation: 4 mL x patient's weight in kg x percentage of total body surface area (%TBSA) affected by burns. This patient has a burn covering approximately 42 percent of their body and weighs 78 kg. Therefore, the calculation would be 4 mL x 78 kg x 42% = 13,104 mL for the first 24 hours. The Parkland formula also states that half of the total volume should be given in the first 8 hours, and the remaining half over the next 16 hours. To calculate the IV fluid rate for the first 8 hours, divide the total volume for the first half (6,552 mL) by 8 hours, which gives us an IV rate of approximately 819 mL/hr.