Using the Parkland formula (4 mL x weight in kilograms x percent burned), a patient weighs 187 lb and has 27% TBSA burn. How many milliliters of IV fluid are given in the first eight hours?

Using the Parkland formula (4 mL x weight in kilograms x percent burned), a patient weighs 187 lb and has 27% TBSA burn. How many milliliters of IV fluid are given in the first eight hours?

• A. 4590 mL
• B. 9180 mL
• C. 459 mL
• D. 1840 mL

Answer: (A)

The Parkland formula estimates fluid needs for burn resuscitation: total fluid in the first 24 hours equals 4 mL × weight (kg) × %TBSA burned, and half of that amount is given in the first 8 hours from the time of burn. Convert weight to kilograms: 187 lb ≈ 85 kg. With 27% burn, total for the first 24 hours is 4 × 85 × 27 = 9180 mL. Half of this in the first 8 hours = 4590 mL.

The Parkland formula estimates fluid needs for burn resuscitation: total fluid in the first 24 hours equals 4 mL × weight (kg) × %TBSA burned, and half of that amount is given in the first 8 hours from the time of burn.

Convert weight to kilograms: 187 lb ≈ 85 kg. With 27% burn, total for the first 24 hours is 4 × 85 × 27 = 9180 mL. Half of this in the first 8 hours = 4590 mL.