A 30-pound 3-year-old with burns 45% TBSA; using Parkland formula, how much IV fluid should be given in first 8 hours?

• A. 1,153 mL
• B. 1,224 mL
• C. 1,000 mL
• D. 1,500 mL

Answer: (A)

The test is about burn fluid resuscitation using the Parkland formula. This rule says you give 4 mL of lactated Ringer’s solution per kilogram of body weight for each percent of TBSA burned, and you administer half of that total in the first 8 hours from the time of burn, with the remaining half over the next 16 hours.

First, convert the child’s weight: 30 lb ≈ 13.6 kg. The burn is 45% TBSA. So the total fluid for the first 24 hours is 4 × 13.6 × 45 ≈ 2,448 mL. Half of that in the first 8 hours equals about 1,224 mL. Therefore, the child should receive roughly 1,224 mL of IV fluid in the first 8 hours.

If some time has already elapsed since the burn, subtract any fluids already given from this 8‑hour amount and adjust accordingly.