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    N158 nursing care of infants proctored exam (paediatrics)
    Calculation

    An adolescent patient weighing 43 kilograms has 24% 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). How many milliliters of Lactated Ringers should the patient receive in the first 24 hours after the burn injury? Round your answer to the nearest tenth if applicable and enter only digits.

    mL

    Explanation & Rationale

    Identify the parameters for the Parkland formula. Fluid constant: 4 mL Patient weight: 43 kg Total Body Surface Area (TBSA): 24% Calculate the total fluid volume for the first 24 hours using the Parkland formula. Parkland formula: Total Volume (mL)=4 mL×weight (kg)×TBSA (%) Total Volume (mL) = 4 × 43 ×24 = 4128 mL.

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