## Medical Surgical Critical Care Burns #4

### Question

A client arrives at the hospital with full-thickness burns to the front and back of the right and left leg, the back of the right arm, and the anterior trunk. Upon arrival, the client’s weight is 63 kg. Using the Parkland Burn Formula, how much IV fluids should the client receive during the first 24 hours?

1. 11,340 ml
• Rationale:

This answer is not correct because the TBSA would be 58.5%. Using the Parkland Burn Formula: 4 ml X 58.5% X 63 kg = 14,742 ml.

2. 13,104 ml
• Rationale:

This answer is not correct because the TBSA would be 58.5%. Using the Parkland Burn Formula: 4 ml X 58.5% X 63 kg = 14,742 ml.

3. 14.144 ml
• Rationale:

This answer is not correct because the TBSA would be 58.5%. Using the Parkland Burn Formula: 4 ml X 58.5% X 63 kg = 14,742 ml.

4. 14,742 ml
• Rationale:

This answer is correct because The front and back of the client’s right and left leg (18% each) would be 36%; back of the right arm would be 4.5%; and the anterior trunk would be 18%. 36% + 4.5% + 18% = 58.5% TBSA. 4 ml X 58.5% X 63 kg = 14,742 ml.

### Overview

The Parkland Burn Formula= 4 ml X TBSA% X pt’s weight in kg. The front and back of the client’s right and left leg (18% each) would be 36%; back of the right arm would be 4.5%; and the anterior trunk would be 18%. 36% + 4.5% + 18% = 58.5% TBSA. 4 ml X 58.5% X 63 kg = 14,742 ml.

### Learning Outcomes

The front and back of the client’s right and left leg (18% each) would be 36%; back of the right arm would be 4.5%; and the anterior trunk would be 18%. 36% + 4.5% + 18% = 58.5% TBSA. 4 ml X 58.5% X 63 kg = 14,742 ml.

### Test Taking Tip

Know the Parkland Burn Formula: 4 ml X total body surface area (TBSA) X client’s weight in kg = ml needed to replace fluids in the first 24 hours. One-half of the fluid needed should be administered within the first 8 hours and then divide the other half by 16 hours to decide what ml/hr to run over the next 16 hours.