The ED nurse admits a client with second-degree burns to the arms and third-degree burns to the legs. Based on the Parkland formula, which IV fluid would the nurse anticipate for this client during the first 24 hours?

  1. D5W
  2. colloid solutions
  3. crystalloid solutions
  4. 5% albumin in isotonic saline
Number 3 is correct.
Rationale: The Parkland formula calls for crystalloid only (Lactated Ringer’s) solution for initial fluid replacement. D5W and colloid solutions are not used in the Parkland formula. The Modified Brooke formula prescribes 5% albumin in isotonic saline for the first 24 hours.