A 77-kilogram patient with burns to the front of the torso, both arms, and face is being treated in the emergency department. Using the Parkland formula, how much lactated Ringer's solution does the nurse anticipate infusing of the first 8 hours?
A) 3,118 mL
B) 6,237 mL
C) 12,474 mL
D) 24,948 mL
B) 6,237 mL
Explanation: A) There are several formulas for estimating initial fluid replacement requirements for the severely burned patient. The Parkland formula: 4 mL x weight in kilograms x % BSA burned = amount of fluid over 24 hours. The formula is used to determine the amount of lactated Ringer's solution that should be infused over the first 24 hours, the first half being infused over the first 8 hours and the second half being infused over the next 16 hours. The nurse calculates that burns cover 40.5% of BSA (18% for front of torso, 9% for each arm [18%], and 4.5% for front of head). Using the equation, the patient should receive 12,474 mL fluid over the first 24 hours. The first half, or 6,237 mL, should be infused over the first 8 hours and the second half being infused over the following 16 hours.
B) There are several formulas for estimating initial fluid replacement requirements for the severely burned patient. The Parkland formula: 4 mL x weight in kilograms x % BSA burned = amount of fluid over 24 hours. The formula is used to determine the amount of lactated Ringer's solution that should be infused over the first 24 hours, the first half being infused over the first 8 hours and the second half being infused over the next 16 hours. The nurse calculates that burns cover 40.5% of BSA (18% for front of torso, 9% for each arm [18%], and 4.5% for front of head). Using the equation, the patient should receive 12,474 mL fluid over the first 24 hours. The first half, or 6,237 mL, should be infused over the first 8 hours and the second half being infused over the following 16 hours.
C) There are several formulas for estimating initial fluid replacement requirements for the severely burned patient. The Parkland formula: 4 mL x weight in kilograms x % BSA burned = amount of fluid over 24 hours. The formula is used to determine the amount of lactated Ringer's solution that should be infused over the first 24 hours, the first half being infused over the first 8 hours and the second half being infused over the next 16 hours. The nurse calculates that burns cover 40.5% of BSA (18% for front of torso, 9% for each arm [18%], and 4.5% for front of head). Using the equation, the patient should receive 12,474 mL fluid over the first 24 hours. The first half, or 6,237 mL, should be infused over the first 8 hours and the second half being infused over the following 16 hours.
D) There are several formulas for estimating initial fluid replacement requirements for the severely burned patient. The Parkland formula: 4 mL x weight in kilograms x % BSA burned = amount of fluid over 24 hours. The formula is used to determine the amount of lactated Ringer's solution that should be infused over the first 24 hours, the first half being infused over the first 8 hours and the second half being infused over the next 16 hours. The nurse calculates that burns cover 40.5% of BSA (18% for front of torso, 9% for each arm [18%], and 4.5% for front of head). Using the equation, the patient should receive 12,474 mL fluid over the first 24 hours. The first half, or 6,237 mL, should be infused over the first 8 hours and the second half being infused over the following 16 hours.
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