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    N158 nursing care of infants proctored exam (paediatrics)
    Calculation

    A pediatric patientweighing 23.5 kilograms has 14% total body surface area (TBSA) affected by partial- and full-thickness burns. Calculate initial fluid resuscitation needs using the Parkland formula (4 mL x kg x %TBSA). At what rate is milliliters per hour (mL/hr) should the nurse set the IV pump to deliver half of the total fluid volume in the first 8 hours after the burn injury? Round your answer to the nearest tenth if applicable and enter only digits.

    mL/hr

    Explanation & Rationale

    Calculate the total fluid volume needed for the first 24 hours using the Parkland formula. Formula: 4 mL×weight (kg)×TBSA (%) Parameters: 4 mL×23.5 kg×14% Total 24-hour Volume (mL) = 4 × 23.5 × 14 =1316 mL. Calculate the volume to be administered in the first 8 hours. The order is to administer half of the total fluid volume in the first 8 hours. Volume for first 8 hours (mL) =1316 mL / 2 =658 mL. Calculate the infusion rate in milliliters per hour (mL/hr). 658 mL must be infused over 8 hours. Rate (mL/hr) = Volume for first 8 hours (mL) / Time (hr) =658 mL/8 hr =82.25 mL/hr.

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