Our institution continues to monitor and assess our Sepsis patient data.  We 
are having difficulty meeting the new 30ml/kg recommendations for fluid 
resuscitation.  We are finding that some of our outliers are the patients with 
CHF or renal failure.  Is this a common barrier and if so, what are other 
institutions doing to assure those patients are receiving adequate fluid 
resuscitation without causing harm to the patient? Should we omit those 
patients from our data collection?


Respectfully, 


Tracey Helmick RN, CCRN
Meadville Medical Center
MMC Severe Sepsis Team Nurse Champion
[email protected]
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