Fluid resuscitation according to the Parkland Formula is calculated as?

Fluid resuscitation according to the Parkland Formula is calculated as?

• A. 4 cc x kg x BSA over 24 hours
• B. 2 cc x kg x BSA over 24 hours
• C. 8 cc x kg x BSA over 24 hours
• D. 4 cc x kg x BSA over 24 hours

Answer: (D)

Fluid resuscitation after burns uses the Parkland formula, which states you give a total of 4 mL of lactated Ringer’s solution per kilogram of body weight for every percent of TBSA burned, all within the first 24 hours. Half of that volume is given in the first 8 hours from the time of burn, and the remaining half over the next 16 hours. The key is using TBSA burned (percent), not body surface area in square meters. For example, a 70 kg patient with 20% TBSA burn would receive 4 × 70 × 20 = 5600 mL in 24 hours; 2800 mL in the first 8 hours, and 2800 mL in the next 16 hours. If the patient presents later, you still aim to deliver fluids within the original 8 and 16 hour windows from the time of burn. The correct formulation is 4 mL × kg × %TBSA burned over 24 hours.

Fluid resuscitation after burns uses the Parkland formula, which states you give a total of 4 mL of lactated Ringer’s solution per kilogram of body weight for every percent of TBSA burned, all within the first 24 hours. Half of that volume is given in the first 8 hours from the time of burn, and the remaining half over the next 16 hours. The key is using TBSA burned (percent), not body surface area in square meters. For example, a 70 kg patient with 20% TBSA burn would receive 4 × 70 × 20 = 5600 mL in 24 hours; 2800 mL in the first 8 hours, and 2800 mL in the next 16 hours. If the patient presents later, you still aim to deliver fluids within the original 8 and 16 hour windows from the time of burn. The correct formulation is 4 mL × kg × %TBSA burned over 24 hours.