The nurse is caring for a 154-pound patient with 50 percent total body surface area burns
If using the Parkland formula, the nurse will calculate which of the following amounts of intravenous solution to provide this patient in the first 24 hours of care? 1. 42,000 cc
2. 14,000 cc
3. 7,000 cc
4. 3,500 cc
2
Rationale: Based on the Parkland formula, the total amount of fluids required in the first 24 hours = 4 cc of Ringer's lactate x TBSA of burns x patient's weight in kgs. For this patient, 4 mL x 50 x 70 kg = 14,000 mL. 7, 000 mL should be given in the first 8 hours; 3,500 mL in the second 8 hours; and 3,500 mL in the last 8 hours. The other calculations are incorrect.
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