A 30-year-old woman weighing 60 kg sustains 40% total body surface area partial and full-thickness burns in a house fire. According to the Parkland formula, what is the total volume of Ringer's lactate to be administered in the first 24 hours?
- A 4,800 mL
- B 7,200 mL
- C 9,600 mL ✓
- D 12,000 mL
Correct answer: C. 9,600 mL
Explanation
The Parkland formula calculates fluid resuscitation as 4 mL × body weight (kg) × percentage of total body surface area burned. For this patient: 4 × 60 × 40 = 9,600 mL total in the first 24 hours. Half is given in the first 8 hours from the time of burn, and the remaining half over the next 16 hours. The formula guides initial resuscitation but must be titrated to urine output.
Reference: Total Burn Care, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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