Using the Parkland formula, what is the 24-hour fluid requirement for a patient weighing 85 kg with a 27% burn?

Using the Parkland formula, what is the 24-hour fluid requirement for a patient weighing 85 kg with a 27% burn?

• A. 9180 mL
• B. 4590 mL
• C. 918 mL
• D. 18360 mL

Answer: (A)

The Parkland formula estimates fluid needs for burn resuscitation as 4 mL × body weight in kg × %TBSA burned, given in the first 24 hours. For a patient who weighs 85 kg with a 27% burn, the calculation is 4 × 85 × 27 = 9180 mL over the first 24 hours. About half of that is given in the first 8 hours post-burn (4590 mL) and the remaining half over the next 16 hours (4590 mL). The 24-hour fluid requirement is 9180 mL, typically with Lactated Ringer's solution.

The Parkland formula estimates fluid needs for burn resuscitation as 4 mL × body weight in kg × %TBSA burned, given in the first 24 hours. For a patient who weighs 85 kg with a 27% burn, the calculation is 4 × 85 × 27 = 9180 mL over the first 24 hours. About half of that is given in the first 8 hours post-burn (4590 mL) and the remaining half over the next 16 hours (4590 mL). The 24-hour fluid requirement is 9180 mL, typically with Lactated Ringer's solution.