i have treated a patient 70kg 75 year,iv 6000ml in 4 hour。the point is how much the patient need,the total is not the key.

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在 [email protected],2014-10-8 下午9:14写道:

Hello,

 

I have a question about IV bolus bundle compliance. I have noted in the 3-hour Bundle to administer 30 mL/kg Crystalloid for hypotension or Lactate >/= 4 mmol/L and that this is over 30 minutes. My question is this, to be complaint must the entire bolus be completed within 30 minutes? For example, for a 100 kg patient, the total bolus would be 3000 ml over 30 minutes (6000 ml/hr). I am trying to understand how we could meet this measure for an obese patient population that may require > 4 Liters. Thank you for your attention in this matter.

 

Sincerely,

 

 

David L Threatt RN, BSN
Division Director of Clinical Informatics/EHR

HCA South Atlantic Division

900 Island Park Dr. Suite 102

Charleston, SC 29492

 

(t) 843-856-7959, (m) 980-230-9244

 

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