Module 1 Answers
The physician orders a Lactated Ringer's bolus for your patient. How many mL will you administer?
First you must calculate the patient’s weight in kilograms. 40lbs = 18.18kg rounded to 18kg. Crystalloid boluses are 20ml/kg. Therefore you will administer crystalloid boluses in the amount of 360ml.
Two boluses of LR have been ineffective in resuscitation. How many mL of PRBCs will you administer?
Blood products are 10ml/kg. You will administer 180ml of PRBCs.
When the patient arrived, did is blood pressure indicate mild, moderate or severe blood loss?
Patient’s systolic pressure on arrival was 78mmHg. According to the provided blood loss formulas, severe blood loss is indicated as <70 + 2 x age in years. For this patient at age 4, the calculation would look like:
<70 + 2 x 4
<70 + 8
<78 would indicate severe blood loss. The patient’s SBP was 72 on arrival which is less than 78 indicating SEVERE blood loss.
What do you anticipate as the plan for this patient?
Not responding to blood administration indicates need for prompt surgical intervention. Prepare for transport to the operating room.
What urinary output would indicate that resuscitation is effective?
1 to 2 ml/kg/hr
First you must calculate the patient’s weight in kilograms. 40lbs = 18.18kg rounded to 18kg. Crystalloid boluses are 20ml/kg. Therefore you will administer crystalloid boluses in the amount of 360ml.
Two boluses of LR have been ineffective in resuscitation. How many mL of PRBCs will you administer?
Blood products are 10ml/kg. You will administer 180ml of PRBCs.
When the patient arrived, did is blood pressure indicate mild, moderate or severe blood loss?
Patient’s systolic pressure on arrival was 78mmHg. According to the provided blood loss formulas, severe blood loss is indicated as <70 + 2 x age in years. For this patient at age 4, the calculation would look like:
<70 + 2 x 4
<70 + 8
<78 would indicate severe blood loss. The patient’s SBP was 72 on arrival which is less than 78 indicating SEVERE blood loss.
What do you anticipate as the plan for this patient?
Not responding to blood administration indicates need for prompt surgical intervention. Prepare for transport to the operating room.
What urinary output would indicate that resuscitation is effective?
1 to 2 ml/kg/hr