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    Med Surg 2 Proctored ExamQuestion 28
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    Med Surg 2 Proctored Exam

    A client with severe burns had crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 ml. The initial rate of administration is 1875 mL/hr. After the first 8 hours. What rate should the nurse infuse the IV fluids?

    Explanation & Rationale

    Calculation: Identify total fluid and distribution Total Fluid in 24 hours: 30,000 mL Half is given in first 8 hours: 15,000 mL Remaining half for next 16 hours: 15,000 mL Calculate the rate for the remaining 16 hours Infusion Rate = Remaining Volume ÷ Time Infusion Rate = 15,000 ÷ 16 Infusion Rate = 937.5 mL/hour Round to the nearest whole number = 938 mL/hour

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