Here is the scenario for a burn

Here is the scenario for a burn victim You are working in the emergency department (ED) of a community hospital when the ambulance arrives with A.N., a 28-year-old woman who was involved in a house fire. She was sleeping when the fire started and managed to make her way out of the house through thick smoke. The emergency medical system crew started 100% humidified oxygen at 10L/min per non-rebreather mask and started a 16-gauge IV with lactated Ringer’s solution. On arrival in the ED, her vital signs are BP – 98/58, P-125, R-32, SpO2 91%. She is alert and oriented x4 and appears anxious and in pain. Interpret the following lab results Laboratory Test Values Hgb 12 g/dL WBC 15,000 Hct 51% K 6.9 mEq/dL (6.9 mmol/L) Na 133 mEq/dL (133 mmol/L) Cl 95 mEq/dL (95 mmol/L) Glucose 159 mg/dL (8.8 mmol/L) BUN 28 mg/dL (10.0 mmol/L) Creatinine Kinase 300 units/L My answer: Hgb 12 g/dL – Hct 51% – increased and shows fluid loss WBC 15,000- K 6.9 mEq/dL – Na 133 mEq/dL – this is decreased due to sodium lost due from plasma leaking as well as sodium trapping in the fluids contributing to pt edema; she is hyponatremic. Cl 95 mEq/dL – Glu 159 mg/dL – this is increased due to uptake alterations related to tissue injury as well as the pt.’s stress response BUN 28 mg/dL – this is elevated and related to fluid loss (Kidney function) Creatinine Kinase 300 units/L- 2. A.N. is undergoing burn fluid resuscitation using the standard Baxter (Parkland) formula. She was admitted at 0400. She weighs 154 pounds (70 kg). Calculate her fluid requirements, specify the fluids used in the Baxter (Parkland) formula and why, specify how much will be given, and indicate what time intervals will be used. Specify the hourly rate for the fluid in the first 8 hours. How many gtt./minute will the client receive? Answer: This patient will be given 14,140 mLs within 24 hours. The fluids will be lactated ringers and half (7070 mL) will be given in the first 8 hours. The remaining 7070 mL will be given to A.N. over the next 16 hours. I AM ABLE TO ANSWER THE FIRST PART BUT I AM UNSURE ABOUT HOW TO FIND THE HOURLY RATE FOR THE FLUID IN THE FIRST 8 HOURS AND HOW MANY GTT/MINUTE WILL THE PATIENT RECEIVE? PLEASE HELP 🙁 SCIENCE HEALTH SCIENCE NURSING NURSING 232

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