Ati med surg proctored exam (Renal and burn)
A nurse is monitoring the fluid replacement of a client who has sustained burns over 40% total body surface area (TBSA). The client weight is 100kg According to the Parkland Formula, how much fluid will the client require in the first 8 hours?
Explanation & Rationale
A. 16 liters: This is the total fluid volume required over 24 hours using the Parkland Formula for a client with 40% TBSA burns and 100 kg body weight. It is not the amount needed in the first 8 hours. B. 2000 mL/hour: While this rate would deliver 16,000 mL over 8 hours, it exceeds the prescribed amount. Only half the calculated volume should be given in the first 8 hours. C. 4 liters: This is one-fourth of the total fluid requirement and is insufficient for the first 8 hours of resuscitation, risking inadequate tissue perfusion. D. 8000 mL: Using the Parkland Formula (4 mL × 100 kg × 40%), the total is 16,000 mL. Half of this 8,000 mL, is to be infused within the first 8 hours to ensure early fluid resuscitation.
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