Question

Parkland formula for adults and babies, and how fast do you give the volume

A) 2 mL/kg/TBSA over 8 hours
B) 4 mL/kg/TBSA over 12 hours
C) 4 mL/kg/TBSA over 24 hours
D) 6 mL/kg/TBSA over 24 hours

Answer 1

The Parkland formula suggests administering 4 mL/kg/TBSA of fluids over 24 hours for burn victims, with the first half given in the first 8 hours for adults. For babies or young children, the fluid volume may differ and must be tailored to their specific weight and burn severity.

Step-by-step explanation:

The Parkland formula is a medical guideline for calculating the volume of fluids to administer to patients with burns, both adults and children. In adults, the Parkland formula recommends 4 mL of crystalloid solution (like lactated Ringer's or normal saline) per kilogram of body weight per percent of total body surface area (TBSA) burned. The first half of this volume is administered over the first 8 hours from the time of burn, and the remaining half over the following 16 hours, making the total administration time 24 hours. However, for babies or much younger children, fluid requirements may vary and should be calculated based on their weight and the severity of the burn, always taking into account the need to adjust the fluid rate to maintain proper physiological function.