Ann, important question. I am just an observer of sepsis care, but this always seems to be a discussion with uncertain resolution. often leading to delays in therapy.
ultrasound assessment of filling and contraction - diastolic and systolic function, would likely help decide when to give fluid to CHF patients as well as those with other co-morbidities or even most septic patients after substantial fluid. When should drugs be administered and when should fluid be continued. etc. Can echo be performed by an attending ICU doc, resident, nurse or does this require a cardiology consult? g George C Kramer, PhD Director, Resuscitation Research Lab Professor, Dept. of Anesthesiology 301 University Blvd. UTMB, Galveston, TX 77555-1102 Office (Mary) 409-747-0077 Direct: 409-772-3969 Cell: 409-939-3040 Lab (Muzna) 409-772-6885 Fax: 409-772-8895 email: [email protected] http://www.utmb.edu/rrl/ On Aug 17, 2012, at 12:13 PM, Mulligan, Ann W. wrote: > 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] > > Confidential Notice: This email is for the sole use of the intended recipient > and may contain material that is confidential and protected by state and > federal regulations. If you are not the intended recipient please > immediately delete it and contact the sender. Thank you. > > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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