PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is the Parkland Formula for initial resuscitation of a burn patient?

V = Burn % x Weight in kg
V = TBSA burn% x Weight in kg x 4
V = TBSA burn% x Weight in kg x 2
V = Burn % x Age

The correct answer is: V = TBSA burn% x Weight in kg x 4

The Parkland Formula is a critical guideline used for the initial resuscitation of burn patients. When calculating fluid requirements, the formula specifies that the volume of lactated Ringer's solution required in the first 24 hours should be determined by multiplying the total body surface area (TBSA) percentage of the burns by the patient's weight in kilograms and then by 4. This formula is grounded in the need to provide adequate fluid resuscitation to compensate for the fluid loss that occurs due to burns. Using this formula, healthcare providers can calculate the initial resuscitation fluid volumes efficiently, which is essential for preventing hypovolemic shock and maintaining organ perfusion in burn patients. The first half of this total volume is typically given in the first 8 hours post-injury, while the remaining half is administered over the next 16 hours. This structured fluid administration can significantly improve outcomes in critically burned patients, highlighting the importance of adhering to the Parkland Formula.