Very hard

An adult weighing 70 kg has burns covering 20% of the total body surface area. Using the Parkland formula, how much Ringer lactate is required during the first 24 hours?

Correct answer: B. 5,600 mL

  • A. 2,800 mL
  • B. 5,600 mL
  • C. 7,000 mL
  • D. 14,000 mL

Explanation

The calculation is 4 mL × 70 kg × 20 = 5,600 mL in 24 hours. Half, 2,800 mL, is given during the first 8 hours from the time of the burn, and the remainder during the next 16 hours.

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About Burns and Trauma Nursing

Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.

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