A Patient Is Brought to the Emergency Department After a House

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The patient is now in the intensive care burn unit with a heart rate of 140 beats/min,a urine output of 25 mL/hr,and clear lung sounds.The fluid resuscitation plan

A) should continue as planned; everything looks good.
B) IV rate should be decreased and more narcotics given.
C) IV rate should be increased and fluid status closely watched.
D) should be switched to packed red blood cells.

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