My understanding of this is that it should be within the first 30 minutes. We use multiple lines to get the fluid in fast.
Juanita Fernandes, RN, BSN, CEN Emergency Department Nurse Educator Concord Hospital 250 Pleasant Street Concord, New Hampshire 03301 (603) 227-7000 ext. 3138 Pager (603) 221-1104 >>> On 10/7/2014 at 11:44 AM, <[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
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