A 50-year-old patient with 60% total body surface area (TBSA) burn and a weight of 70 kg requires fluid resuscitation. Using the Parkland formula, how much total fluid volume should be administered in the first 24 hours?
16,800 mL
18,000 mL
14,000 mL
12,600 mL
The Correct Answer is A
A. 16,800 mL is correct based on the formula.
The Parkland formula is:
4 mL × body weight (kg) × %TBSA burned
= 4 × 70 × 60
= 16,800 mL total fluid in 24 hours
B. 18,000 mL overestimates the requirement.
C. 14,000 mL underestimates the fluid needed.
D. 12,600 mL is too low for a 60% TBSA burn in a 70 kg patient.
Nursing Test Bank
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Related Questions
Correct Answer is A
Explanation
A. Most burns are preventable through proper safety measures, public education, and environmental precautions, such as smoke alarms, safe cooking practices, and keeping hot liquids away from children.
B. Burns can be caused by various sources, including scalds, chemicals, electricity, and radiation, not just fire.
C. Many burns can be prevented with awareness and safety interventions.
D. Burns can be severe even if they cover a small area, especially if they affect critical regions like the face, hands, feet, or perineum, or if they are deep (e.g., full-thickness burns).
Correct Answer is A
Explanation
A. The Rule of Nines is the most commonly used and appropriate method to quickly estimate the TBSA burned in adult patients. It divides the body into sections, each representing approximately 9% (or a multiple thereof) of the total body surface area.
B. BMI is used to assess body fat and weight status, not burn area.
C. The patient’s palm size is roughly 1% of TBSA and is more commonly used for estimating small, scattered burns, not for calculating large surface areas.
D. There is no such tool as the "Parkland Burn Chart"; the Parkland Formula is used for fluid resuscitation after TBSA is estimated.
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