What is the maximum volume of fluid that should be administered in the first 8 hours for an 18 kg child with a 15% burn?

Prepare for the New York City REMAC Paramedic Credentialing Test. Study with flashcards and multiple choice questions, each with hints and explanations. Get ready for your exam!

To determine the maximum volume of fluid that should be administered in the first 8 hours for a child with burns, you would typically use the Parkland formula. The Parkland formula states that for the first 24 hours following a burn, fluid resuscitation should be calculated based on the patient's weight in kilograms and the percentage of body surface area (BSA) burned.

The formula is as follows:

Total fluid requirements for the first 24 hours = 4 mL × weight (kg) × %BSA burned.

For an 18 kg child with a 15% burn:

Total fluid requirement for the first 24 hours = 4 mL × 18 kg × 15 = 1080 mL.

This volume is then typically administered over the first 24 hours, which means that in the first 8 hours, you would administer half of the total volume calculated, since it is equally split between the two halves of the 24-hour period.

Therefore, the maximum volume to be administered in the first 8 hours is:

1080 mL / 2 = 540 mL.

Upon reviewing the choices provided, the critical point is to re-check the calculations or the context provided by the potential answers. The

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