Fluid Bolus: We have 3 hours to get our complete bolus in.
-----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, October 08, 2014 3:53 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 129, Issue 5 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Lactate critical value trigger for Sepsis Alert (Juanita Fernandes) 2. IV Bolus 30 ml/kg over 30 minutes ([email protected]) ---------------------------------------------------------------------- Message: 1 Date: Tue, 07 Oct 2014 11:26:40 -0400 From: "Juanita Fernandes" <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] Lactate critical value trigger for Sepsis Alert Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Hi Everyone, Our hospital is in the process of going live with an ED Sepsis Alert. We were able to get the lab to recognize a critical value for lactate that would trigger the lab to call the RN and the RN to notify the provider. My concern is that the level we chose was 4 or >. The data that we have collected on our own patients so far, even those in septic shock, rarely have a lactate as high as 4. What are other hospitals using for a lactate to trigger an alert? Juanita 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141007/c161210a/attachment.html> -------------- next part -------------- A non-text attachment was scrubbed... Name: Fernandes, Juanita.vcf Type: application/octet-stream Size: 284 bytes Desc: not available URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141007/c161210a/attachment-0001.obj> ------------------------------ Message: 2 Date: Tue, 7 Oct 2014 10:44:54 -0500 From: <[email protected]> To: <[email protected]> Subject: [Sepsis Groups] IV Bolus 30 ml/kg over 30 minutes Message-ID: <c9c16fbf5234a2409546e8e60933a1928be59b6...@fwdcwpmsgcms04.hca.corpad.net> Content-Type: text/plain; charset="us-ascii" 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141007/db68a763/attachment-0001.htm> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 129, Issue 5 ******************************************** Confidentiality Notice: This e-mail message, including any attachments, may contain confidential information. The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail information is prohibited. If you have received this e-mail in error, please contact the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
