Final answer:
The flow rate during the first 8 hours for the burn patient is 15,876 mL/hr.
Step-by-step explanation:
The Parkland Burn Formula is used to calculate the flow rate of fluid needed to resuscitate a burn patient in the first 24 hours. The formula is:
Fluid volume (in mL) = % TBSA burned x patient weight (in kg) x 4 mL/hr
In this case, the total body surface area (TBSA) burned is calculated by adding up the percentages associated with each body part affected. The front and back of both legs account for 18% each, the front of the right arm is 9%, and the anterior trunk is 18%. Thus, the TBSA burned is 18% + 18% + 9% + 18% = 63%.
Using the Parkland Burn Formula, the flow rate during the first 8 hours can be calculated as:
Fluid volume = 63% x 63 kg x 4 mL/hr = 63 x 63 x 4 = 15,876 mL/hr