Using the Parkland formula for fluid resuscitation and your knowledge of injury calculations using the "rule of nines," calculate the estimated fluid requirements during the first 8 hours for a 75-kg patient with full-thickness burns to the
anterior chest, perineum, and entire right leg. a. 2775 mL c. 8325 mL
b. 5550 mL d. 11,100 mL
B
In a 75-kg person with a 37% burn injury (based on a rule of nines calculation: 18%—chest, 1%—perineum, 18%—right leg = 37% total body surface area (TBSA) burn), the Parkland formula estimates fluid resuscitation needs at 4 mL x 37 x 75 = 11,100 mL. In the first 8 hours after injury, half of the calculated amount of fluid is administered. This amount equals 5550 mL.
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