An explosion occurs outside of the emergency room entrance….

An explosion occurs outside of the emergency room entrance. The patient was immediately taken inside, and IV access was easily obtained. The client has burns to the front and back of the following: right arm, left arm, right leg, and anterior thorax. The client weighs 110 pounds. Utilizing the rule of 9’s and the high range of the Consensus Formula for Fluid Resuscitation, at what rate should the infusion pump be set for the fluid replacement upon arrival to the ER in ml/hour? Round the pump rate to the nearest whole number. Do not include units of measurement in the answer.