Author Question: A 10-year-old child is in the emergency department with burns on her buttocks, the backs of her ... (Read 22 times)

rlane42 · **on:** Jun 28, 2018

A 10-year-old child is in the emergency department with burns on her buttocks, the backs of her thighs, and the soles of her feet.

The nurse calculates this child's total body surface area (TBSA) burned as ___________________ _.

Question 2

A child weighing 110 lb (50 kg) was involved in a car fire at 3 p.m. She did not reach the emergency department until 5 p.m. She suffered burns over 45 of her body.

How fast does the nurse program the IV pump in order to deliver the first 50 of her fluid requirements? Using the standard Parkland formula, the nurse should program the IV pump at ___________________ _ mL/hour.

brittrenee · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS:
17.5
Using the Lund and Browder chart for this child, the buttocks are a total of 5, the backs of the thighs are 4.5 each (total 9), and the soles of the feet are 1.75 each (3.5 total). This equals 17.5.

Answer to Question 2

ANS:
750
50 x 4 x 45 = 9,000 mL needed in 24 hours
50 of 9,000 = 4,500 mL in the first 8 hours from the time of the burn
Two hours have passed since the time of the burn, so this amount needs to be infused in the remaining 6 hours: 4500/6 = 750 mL.