All of this must be taken in context of which bundle you are working in. Being an ED nurse, our main focus is in the resuscitation bundle and NSS is the fluid of choice. We have, on occasion, given albumin but that seems to be practitioner dependent. Plasma and PRBC's are next on the list, especially if your HCT is low. If you stick to EGDT and get your patient on pressors appropriately and start your broad spectrum antibiotics in a timely manner you probably won't have to worry about the hyperchloremic acidosis. If not it won't matter because the elevated lactate will get you to organ failure and death long before you need to worry about hyperchloremia.
Just my opinion.
Jeffrey R Hanlon RN
Stamp Out Sepsis
-----Original Message-----
From: Katzaman, Alecia <[email protected]>
To: '[email protected]' <[email protected]>
Sent: Tue, Apr 16, 2013 8:40 am
Subject: [Sepsis Groups] NSS vs Albumin
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From: Katzaman, Alecia <[email protected]>
To: '[email protected]' <[email protected]>
Sent: Tue, Apr 16, 2013 8:40 am
Subject: [Sepsis Groups] NSS vs Albumin
What does everyone do in terms of fluid resuscitation – do you give NSS or Albumin? What do you do in the ED? DO you have a limit of NSS that is given before Albumin is given, or is provider
specific?
Alecia Katzaman, MSN, RN
Emergency Department Quality Improvement Coordinator
P.O. Box 16052
Reading, PA 19612-6052
PHONE: 484-628-4810
Advancing Health. Transforming Lives.
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