A 30-year-old man sustains 40% total body surface area burns. Using the Parkland formula, how much Ringer's lactate should be given in the first 8 hours post-burn (weight 70 kg)?

• A 5600 mL
• B 11200 mL
• C 1400 mL
• D 2800 mL ✓

Explanation

The Parkland formula calculates total fluid requirement as 4 mL × weight (kg) × %TBSA burn in the first 24 hours, giving 4 × 70 × 40 = 11,200 mL. Half of this (5,600 mL) is given in the first 8 hours from the time of injury, and the remaining half over the next 16 hours. Therefore, 5,600 mL should be given in the first 8 hours. Note: the question asks for volume in first 8 hours, which is 11,200 / 2 = 5,600 mL.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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