The nurse cares for a 55-year-old female admitted to the bur…
The nurse cares for a 55-year-old female admitted to the burn unit following a house fire. Nurses’ Notes 2000: A 55- year-old female arrives to the emergency department via ambulance with bilateral second and third degree burns to the front lower extremities from a house fire that occurred at 1800 today. Burns estimated at 36% of total body surface area. Client weighs 220 lbs. 2100: Admitted to the burn unit. Vital signs as noted. Morphine sulfate given for pain. Wound care was provided by the nurse. Breath sounds clear. Bilateral +2 pitting edema was noted in the lower extremities. Doppler pedal pulses present. Vital Signs Time 2000 2100 Temperature 37.8 C/100 F 37.5 C/99.5 F Heart rate 130 135 Respirations 28 32 Blood pressure 88/58 80/54 Pulse oximeter 95 on 4L NC 92 on 4L NC Pain 6/10 4/10 Intake & Output Fluid resuscitation order: 4 mL Ringer’s lactate x kilogram weight x body surface burned. Give the first half within the first 24 hours and the remaining over the next 16 hours. Hour 2000 2100 Fluids in the field 1200 mL/hr 1200 mL/hr Output 20 mL What should the nurse set the IV pump at to deliver the first 8 hours of fluid resuscitation for this patient according to the ordered fluid resuscitation order? ____ mL/hr