Well, last night because I work nights.
He is 94 and came in with a 34.5% flame burn. Fluid recuscitation was pretty much nil pre-hospital. Medical history of HTN, pacer, cataracts and hiatal hernia. Nothing significant,at least for his age, the only med he takes is Cozaar.
By the time I left this AM at 7 he had had 15 liters of fluid. Urine output from 3 pm yesterday was 156cc's. Docs wanted to keep giving him the fluid as long as his O2 sat stayed above 92. Which is did. He had started coughing around 5AM. No crackles, lung sounds dim though.
He is a DNRCC-A.
Thoughts?
This was our chief, the main head honcho, who wanted the fluids given.
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