I suspect that it is rare to get all of the fluid in over 30 minutes. But if patient is in sepsis, shock hypotension and elevated lactates fluid should be administered by gravity or pressure bag, not pumps set at 999. This is usually possible.
This is the perspective of a physiologist and his interpretation of the need for volume expansion in these patients. George George C. Kramer, PhD. Professor Director, Resuscitation Research Lab Dept. of Anesthesiology UTMB, Galveston mobile 409-939-3040 Mary 409747-0077 On Oct 7, 2014, at 10:44 AM, [email protected]<mailto:[email protected]> wrote: 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 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
