Re: [Sepsis Groups] Fluids for the Septic Patient

[jenny clarke]

We use LR   And do a lot of PLR to balance fluid and pressure. We use a non 
invasive SVI  monitor to do that

Sent from my iPhone

On Jul 6, 2018, at 9:44 AM, Angela Craig 
mailto:acr...@crmchealth.org>> wrote:



In Lieu of all the recent research regarding fluids and which to use in the 
septic population – Is there any idea what the guidelines will be promoting 
with the next update?  I try to stick with the guidelines for changes in 
practice but wondered if this is something we should change moving forward 
immediately??  What are others doing?  Do we just say used a more balanced 
solution of LR or Plasmalyte??

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501
Phone: 931-783-5035 Fax: 931-783-5039
acr...@crmchealth.org | 
crmchealth.org |Facebook | Twitter
Cookeville Regional Medical Center: Building Healthier Communities

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Woodruff, Whitney S
Sent: Thursday, July 05, 2018 12:47 PM
To: jenny clarke; Pesek, Betsy
Cc: 
sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Fluid resuscitation in Septic Neuro patients?

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Swedish is participating in a study led by UW. I have attached the entire 
presentation for your reference. We have since promoted using LR.



Thanks,

Whitney Woodruff, MPH
Senior Quality Program Manager
Sepsis & Readmissions
First Hill Medical Pavilion – 7th Floor
Phone: 206-386-6583


Whitney

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Tuesday, June 19, 2018 12:45 PM
To: Pesek, Betsy 
mailto:elizabeth.pe...@overlakehospital.org>>
Cc: 
sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Fluid resuscitation in Septic Neuro patients?

Just depends on sodium level for neuro patients
Sent from my iPhone

On Jun 19, 2018, at 2:27 PM, Pesek, Betsy 
mailto:elizabeth.pe...@overlakehospital.org>>
 wrote:
HI,
Is there a recommendation on what isotonic fluid is best in a neurologically 
compromised sepsis patient?
LR? Or NS? Or PlasmaLyte?

Thank you for your help,


Betsy
Betsy Pesek MN, BSN, RN, CPHQ |
Quality Improvement Consultant| Quality
direct: 425.688.5935 |
betsy.pe...@overlakehospital.org|

"We must become the change we wish to see in the world."
~Mahatma Gandhi





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Re: [Sepsis Groups] new to EPIC sepsis alert

[Gena]

Hi,

We just implemented EPIC a few months ago. 
1.  The alert is continuous unless Treating an Associated Illness or Condition 
is selected when the alert displays and stops for 24 hours. If the answer is no 
when the sepsis screen is done after the alert displays it still alerts when 
Criteria met again.  
 2. Our alert is based on SIRS.
3.  I need to find out how far back the alert looks back.  One thing from our 
staff is that the alert is too frequent. My concern is they will become numb to 
it.  I’m not sure what source they used for the timing parameters. 

I’d be interested to hear how others have their alerts set up and what sources 
they used for decisions.

Thanks,
Gena Henriques 
Sepsis Coordinator

> On Jul 6, 2018, at 1:57 AM, Malik,Imrana  wrote:
> 
> 
> 
> 
> 
> 
> Hi All,
> 
> My institution is relatively new to EPIC and to its sepsis alert. We are in 
> the process of defining the timings for the alert and its parameters. If 
> you/your institution have experience with EPIC sepsis alert, can you please 
> help with the following questions?
> 
> 1. How frequently does your alert run? Constantly or on a particular timing 
> like q4hrs, q8hrs, etc.?
> 2. Is your alert based on SIRS or qSOFA?
> 3. How far back does the alert look for abnormal vitals (T, HR, RR, BP)? Last 
> 4 hrs, last 8hrs, etc.? What source did you use to base this decision, if any?
> 
> Thank you in advance for your input.
> 
> Imrana Malik, MD FCCP
> Associate Professor
> Department of Critical Care
> UT MD Anderson Cancer Center
> 1515 Holcombe Blvd, Unit 112
> Houston, TX 77030
> 713-792-5040 (Office)
> 713-745-1869 (Fax)
>  
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