A patient weighing 80 kg is receiving resuscitative care for a burn to 46% of total body surface area
What findings indicate that resuscitation is being effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Urine output 50 mL/hour
2. Heart rate 96 beats per minute
3. Blood pressure 138/88 mm Hg
4. Clear lung sounds
5. Bladder pressure 15 mm Hg
1,2,3,4
Rationale 1: Burn resuscitation is considered successful when the patient has adequate urine output after 2 hours of fluids administered at maintenance rate. The urine output should be 0.5 to 1.0 mL/kg/hr.
Rationale 2: Acceptable parameters include a heart rate less than 120 beats per minute.
Rationale 3: A blood pressure that is normal to slightly hypertensive is evidence of successful resuscitation.
Rationale 4: Clear lung sounds is evidence of successful resuscitation.
Rationale 5: Bladder pressure is not used to assess effectiveness of resuscitative care.
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