We use normal saline which is recommended by the guidelines. Mary Draper RN BSN CCRN Quality Manager-Best Practice Support Quality Management Supervisor Office (925) 674-2045<tel:(925)%20674-2045> Cell (925) 451-8792<tel:(925)%20451-8792> Fax (925) 674-2373<tel:(925)%20674-2373> [email protected]<mailto:[email protected]>
On Nov 21, 2012, at 8:31 AM, "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> wrote: The question is witch cristaloid to use......saline solution or ringer?.... From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network ----- Reply message ----- De: "Adrian Verdin Z." <[email protected]<mailto:[email protected]>> Para: "Mary Draper" <[email protected]<mailto:[email protected]>> CC: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> Asunto: [Sepsis Groups] use of vasopressors Fecha: mar., nov. 20, 2012 2:57 p. m. Yes those are part of the 4 principal goals in surviving sepsis campain. We Also use the arterial line waves forms ior the plestitmographic waves for fluid Administracion or to use pressors <images.jpeg> Dr. Adrián Verdín Z. Terapia intensiva Anestesia 614 159 3883 cell 614 1800 800 ext 16574 El 20/11/2012, a las 10:47, "Mary Draper" <[email protected]<mailto:[email protected]>> escribió: 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]> <image001.png> From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Hefton, Suzanne Sent: Monday, November 19, 2012 5:55 PM To: [email protected]<mailto:[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! _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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