A patient weighing 120 kg with partial thickness burns covering 27% of total body surface area requires fluid resuscitation. How much intravenous fluid should be administered in the first 8 hours?

Prepare for the Trauma Nursing Core Course (TNCC) 9th Edition Provider Exam. Study with comprehensive questions, detailed explanations, and essential tips to excel. Boost your confidence and increase your chances of passing!

To determine the amount of intravenous fluid needed for a patient with partial thickness burns, the Parkland Formula is commonly used. The formula is:

4 mL of lactated Ringer's solution × body weight in kg × percentage of total body surface area (TBSA) burned.

In this case, the patient weighs 120 kg, and the percentage of burns is 27%.

Calculating the fluid requirement using the Parkland Formula:

  1. Multiply the weight by the percentage of TBSA burned:

4 mL × 120 kg × 27 = 12,960 mL of fluid is required over the first 24 hours.

  1. Since the first half of the fluid is administered in the first 8 hours, divide the total by 2:

12,960 mL ÷ 2 = 6,480 mL for the first 8 hours.

Given the choices provided and after verifying the calculations, the correct amount of fluid to be administered in the first 8 hours would actually represent the initial values derived from the formula. However, it seems there was a miscalculation or misunderstanding related to the answer provided.

It appears the selected answer reflects an incorrect tier of calculation, as the appropriate figure

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy