You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm.

You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm. The burn injury occurred during a fire in her home; her spouse did not survive the fire, but, due to the patient’s critical condition, she is not aware of his death. She is currently in the surgical intensive care unit. Her body temperature is 36.6°C. Her pulse is 126. Her respiration rate is 12. Her blood pressure is 104/60. She is sedated with a continuous infusion of propofol and is intubated and on a mechanical ventilator. She has a right femoral triple lumen catheter and a right radial arterial line. The patient weighs 60 kg. (Learning Outcomes 2 and 3)

Using the rule of nines, calculate the patient’s total body surface area burned. Total Body surface area according to the rule of nine. (Burn over the neck, chest, abdomen and left arm.)

Based on a calculation of 31.5% body surface area burned, and using the Parkland formula, how much fluid resuscitation should the patient receive in the first 8 hours?

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