You are working in the emergency department (ED) of a community hospital when the ambulance arrives with A.N., an 18-year-old woman who was caught in a house fire. She was sleeping when the fire started and managed to make her way out of the house through thick smoke. The emergency medical system crew initiated humidified oxygen at 15 L/min per nonrebreather mask and started a 16-gauge IV with lactated Ringer's solution. On arrival to the ED, her vital signs are 100/66,125,34, SaO293%. An additional 16-gauge IV is inserted. She appears anxious and in pain.
Eighteen hours after the injury, the NAP reports these vital signs for A.N. and states that the urine output
for the past hour was 20 mL.
Vital Signs Blood pressure Heart rate Respiratory rate 90/50 mmHg110 beats /min24 breaths /min
What treatment do you anticipate?