Question 36 · LEK · Burns
A patient was admitted to the surgical ward with thermal burns of second degree covering the anterior surface of the chest and both upper limbs. Calculate the extent of the burns according to the rule of nines and the volume of fluids that should be given within 24 hours according to Parkland formula:
- A. burn surface amounts to 27% of the total body surface, the volume can’t be calculated because the body weight is not given.
- B. burn surface amounts to 27% of the total body surface, the volume of fluids given within first 24 hours should be 2700 mL.
- C. burn surface amounts to 36% of the total body surface, the volume can’t be calculated because the body weight is not given.
- D. burn surface amounts to 36% of the total body surface, the volume of fluids given within first 24 hours should be 3600 mL.
- E. burn surface amounts to 40% of the total body surface, but the Parkland formula does not refer to the infused fluid volume.
Hint
Add up the rule-of-nines values for each region involved, then check which variables the Parkland formula needs.
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