A child weighing 110 lb (50 kg) was involved in a car fire at 3 p.m. She did not reach the emergency department until 5 p.m. She suffered burns over 45% of her body
How fast does the nurse program the IV pump in order to deliver the first 50% of her fluid requirements? Using the standard Parkland formula, the nurse should program the IV pump at ____________________ mL/hour.
ANS:
750
50 x 4 x 45 = 9,000 mL needed in 24 hours
50% of 9,000 = 4,500 mL in the first 8 hours from the time of the burn
Two hours have passed since the time of the burn, so this amount needs to be infused in the remaining 6 hours: 4500/6 = 750 mL.
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