Question

A 47 year old male client weighing 91 kg comes in to the ED with burns on his entire head, upper anterior torso, anterior right and left arms and genitalia. The total body surface area is calculated according to the rule of nines and represents the total amount of the person's body that has sustained burns.

A: What would be this client's TBSA? ______________%
B: Using the Parkland Formula method calculate the mL/hr in the first 8 hours of the client's arrival: ____________ mL/hr

Answer 1

The client's TBSA is 55% and the mL/hr in the first 8 hours of the client's arrival is approximately 200.2 mL/hr.

Step-by-step explanation:

According to the rule of nines, specific parts of the body are associated with a percentage of body area. The head represents 9% of the total body surface area (TBSA), the upper anterior torso represents 18%, each anterior arm represents 9%, and the genitalia represents 1%. To calculate the TBSA for this client, we can add up the percentages: 9% + 18% + 9% + 9% + 9% + 1% = 55%. Therefore, the client's TBSA is 55%.

For the Parkland Formula method, we need to calculate the mL/hr in the first 8 hours of the client's arrival. The formula is mL/hr = (TBSA)% x weight (kg) x 4. To calculate the mL/hr, we can substitute the TBSA percentage (55%) and the client's weight (91 kg) into the formula: mL/hr = 55% x 91 kg x 4 = 200.2 mL/hr. Therefore, the mL/hr in the first 8 hours of the client's arrival is approximately 200.2 mL/hr.