More Questions on This Topic
More Questions on This Topic ( 10 Questions)
A client is admitted to the hospital with a burn injury that covers 30% of the total body surface area (TBSA). The client's weight is 70 kg. Using the Parkland formula, how much fluid should the client receive in the first 24 hours after the injury?
This is half of the amount that should be given in the first 8 hours.
This is the amount that should be given in the first 8 hours or in the next 16 hours.
This is half of the amount that should be given in the first 24 hours.
Rationale: The Parkland formula is used to calculate the fluid resuscitation for burn clients. It states that the client should receive 4 mL of lactated Ringer's solution per kg of body weight per percentage of TBSA burned in the first 24 hours after the injury. Half of this amount should be given in the first 8 hours, and the remaining half should be given in the next 16 hours. Therefore, for this client, the calculation is as follows:
4 mL x 70 kg x 30% = 8,400 mL in the first 24 hours
8,400 mL / 2 = 4,200 mL in the first 8 hours
8,400 mL - 4,200 mL = 4,200 mL in the next 16 hours
Correct answer: D) 16,800 mL
Rationale: The Parkland formula is used to calculate the fluid resuscitation for burn clients. It states that the client should receive 4 mL of lactated Ringer's solution per kg of body weight per percentage of TBSA burned in the first 24 hours after the injury. Half of this amount should be given in the first 8 hours, and the remaining half should be given in the next 16 hours. Therefore, for this client, the calculation is as follows:
4 mL x 70 kg x 30% = 8,400 mL in the first 24 hours
8,400 mL / 2 = 4,200 mL in the first 8 hours
8,400 mL - 4,200 mL = 4,200 mL in the next 16 hours
Incorrect options:
A) 2,100 mL - This is half of the amount that should be given in the first 8 hours.
B) 4,200 mL - This is the amount that should be given in the first 8 hours or in the next 16 hours.
C) 8,400 mL - This is half of the amount that should be given in the first 24 hours.