44.  A nurse is caring for a patient that weighs 111 kg in s…

44.  A nurse is caring for a patient that weighs 111 kg in septic shock. The patient’s blood pressure was 87/42 with a MAP of 57 and was given 3,330 ml of Normal Saline 0.9% intravenous fluid challenge. The patient’s blood pressure after the fluid challenge is 80/38 and MAP of 52. What does the nurse anticipate the physician to order next?

17. A nurse is working the emergency department in a large m…

17. A nurse is working the emergency department in a large metropolitan hospital. An emergency response team calls in that they are bringing  a 24-year-old female rescued from a housefire. She is one of four victims that were burned in the fire. Two of the victims were transferred to the nearest burn facility and the third victim expired. The patient is awake and alert with oxygen @ 2 liters/nasal canula. She is upset that no one has told her the status of the rest of her family. Vital signs: blood pressure-94/50 mm Hg, pulse-110 bpm, respirations- 34, oxygen saturation 94%. The patient’s weight is 57 kilograms and total body surface area (TBSA) of the burns is 65%. Number the following actions in the order they should be performed in the emergent phase of this burn patient. 1. Assess for other injuries. 2. Establish 2 large gauge intravenous lines. 3. Assess and maintain airway. 4. Calculate the Parkland formula for fluid resuscitation. 5. Calculate TBSA. 6. Medicate for pain. 7. Contact other family or support person. 8. Provide emotional support and reassurance.