73.2k views
2 votes
A client is rescued from a house fire and arrives at the emergency department 1 hour after the rescue. the client weighs 132 pounds (60 kilograms) and is burned over 35% of the body. the nurse expects that the amount of lactated ringer solution that will be prescribed to be infused in the next 8 hours is what?

2 Answers

2 votes

Final answer:

To calculate the amount of lactated Ringer's solution that will be prescribed to be infused in the next 8 hours, we use the client's weight and the percentage of the body that is burned.

Step-by-step explanation:

To calculate the amount of lactated Ringer's solution that will be prescribed to be infused in the next 8 hours, we need to calculate the total volume needed based on the client's weight and the percentage of the body that is burned.

First, we calculate the total body surface area affected by multiplying the weight by the percentage of burns:

Total body surface area = 60 kg x 35% = 21 kg.

Next, we use the rule of 4 to estimate the total volume of lactated Ringer's solution needed:

Total volume = 21 kg x 4 mL/kg/percentage of burns = 21 kg x 4 mL/kg/35% = 24 ml.

Therefore, the nurse expects that the amount of lactated Ringer's solution that will be prescribed to be infused in the next 8 hours is 24 ml.

User Mquemazz
by
7.6k points
3 votes

5% Dextrose in Lactated Ringer's Injection

Each 100 mL of 5% Dextrose in Lactated Ringer's Injection Rationale: In the event of a fire, the nurse's priority responsibility is to rescue or protect the clients under his or her care. The next priorities are to report or alert the fire department, contain or confine, and extinguish the fire.

User Theodor Keinstein
by
7.6k points