Our hospital continues to struggle with meeting the fluid bolus requirements 
when a CHF patient with a low EF presents with sepsis.  Cardiology is 
suggesting that ED perform a bedside ECHO if the patient has CHF and/or know 
reduced ejection fraction, and to be prudent when giving several liters of 
fluid.

How are other hospitals approaching these patients, and what is the latest 
guidelines for sepsis treatment within this diagnosis?

Ann Mulligan, RN, BSN, CPHQ
Manager Quality & Outcomes
Alta Bates Summit Medical Center
2450 Ashby Ave.
Berkeley, CA  94705
Ph: (510) 204-2986
Fax: (510) 204-1221
Cell: (510) 325-4044
[email protected]<BLOCKED::mailto:[email protected]>

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