Our facility continues to bolus an additional 3-5 liters if the lactate comes back ≥ 4. If after that and we have a CVP that is still < 8, we would continue to bolus. Thanks.
Mary Draper RN BSN CCRN Quality Manager-Best Practice Support Quality Management Supervisor Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] From: [email protected] [mailto:[email protected]] On Behalf Of Hefton, Suzanne Sent: Monday, November 19, 2012 5:55 PM To: [email protected] Subject: [Sepsis Groups] use of vasopressors New to the list serve so I apologize if this has been asked previously....Currently, we report Fluid Bolus of 20ml/kg, CVP for lactate > 4 or inability to maintain MAP and initiation of vasopressors if MAP < 65 as separate measures. Some of our ED physicians have questioned if we should wait to start pressors until we have gotten to a CVP of 8. Example: pt has a MAP of 60 and a CVP of 4 after the fluid bolus -we look for the physician to start pressors. I'm wondering what other facilities are doing? Thanks!
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