Determine the total amount of fluid volume to be replaced in…

Determine the total amount of fluid volume to be replaced in the first 24 hours for the patient with burns. This amount should include the first 8 hours and the next 16 hours, the milliliters per hour, and the drops per minute for the IV solution. Use the Parkland formula. In addition, use the post 24-hour formula for fluid replacement, based on urinary output, and determine the hourly volume of fluid replacement for hours 25 through 48 after burn. Round all answers to the nearest whole number. Parkland formula: 4 mL x kg (do not round) x % body surface area (BSA) burn Post 24-hour formula based on urinary output: 1 mL x kg (do not round) x % BSA burn Prescription: Patient weight: 66 lb; % BSA burned: 27% (Round all answers to the nearest whole number) A. The 24-hour total of LR solution IV fluid to be replaced is [total1] mL. B. The 8-hour total of LR solution IV fluid to be replaced is [total2] mL. C. The milliliters per hour of the 8-hour LR solution IV fluid replacement is [total3] mL/hr. D. The 16-hour total of LR solution IV fluid to be replaced is [total4] mL. E. The milliliters per hour of the 16-hour of LR solution IV fluid replacement is [total5] mL/hr. F. The post 24-hour total of D5W IV fluid replacement is [total6] mL/hr.

Bonus Question: (I will grade this and award the points) You…

Bonus Question: (I will grade this and award the points) You are a nurse in a pediatric unit caring for a 10-year-old who has returned from radiology after having his fractured femur radiographed. He is trying to be brave but is in significant pain. His initial dose of pain medication, while somewhat effective, does not adequately reduce his pain.    Which observations would signal the presence of severe pain in your patient (Name 3)? 0.5 point for each What nonpharmacologic measures can effectively decrease pain (Name 3)? 0.5 point for each How could relaxation positively affect his pain (Name 1)? 0.5 point for each  Total of 3.5 bonus points