Ati Med Surg Complex 2 Final Proctored Exam
Calculation
A 25-year-old male is brought to the Emergency Department via EMS after being involved in a motor vehicle collision with fire entrapment. The patient is conscious and in visible pain. You, a student nurse, are assigned to assist with his initial assessment and care. Exhibits Calculate the fluid requirements using the Parkland formula. What is the total fluid needed in the first 24 hours?
ml
Explanation & Rationale
Rationale: Step 1: % of body burned: Front of chest and abdomen: 18% Left arm: 9% Front of right leg: 4.5% Face and neck: 4.5% Total burned = 36% Step 2: Parkland formula: 4 × weight (kg) × % burned = 4 × 80 × 36 = 11,520 ml in 24 hours Step 3: Give fluids: First 8 hours: half → 5,760 ml Next 16 hours: half → 5,760 ml Total 24-hour fluid requirement = 11,520 ml Answer: 11,520 ml
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