LR is a balanced solution. Most evidence of the superiority of plasmalyte has been compared to NS. NS can cause renal failure and hypochloremic acidosis and many believe it should be avoided in high doses. Using either PLT or LR as solution should be equivalent.
imho George Kramer, PhD Professor Director Resuscitation Research Lab Dept. of Anesthesiology UTMB, Galveston 409-939-3040 > On May 13, 2015, at 8:24 PM, Mascioli, Charles MD <[email protected]> > wrote: > > Hello, The sepsis "consultant" stated that we need to use NS or RL......for > fluid resuscitation, that "balanced solutions" such as plasmalyte wer not > approved??? Does anybody know what the actual CMS rule is? > Thanks C Mascioli MD, MMC ,Oak Ridge Tn > ________________________________ > From: Sepsisgroups [[email protected]] on behalf of > Savino, Terri [[email protected]] > Sent: Friday, May 08, 2015 8:16 PM > To: [email protected] > Subject: [Sepsis Groups] Fluid resuscitation > > I was wondering if anyone could clarify what time CMS is looking for fluid > administration? It looks like to me they want the time it was hung > (appropriate order for fluid resuscitation), but isn't it important to know > the time the 30ml/kg are infused, not when they are hung? What time does the > surviving sepsis campaign use? > > Thank you in advance for your response. > > Terri > > Terri Savino MSN, RN, CPHQ > Core Measure Specialist > Quality Improvement Coordinator > Trauma Coordinator > > Middlesex Hospital > 28 Crescent St > Middletown, CT 06457 > office: 860-358-3026 > fax: 860-358-4088 > www.middlesexhospital.org<http://www.middlesexhospital.org> > > [http://middlesexhospital.org/wsimages/logo-header.png] > > > > > This e-mail message may be protected by the attorney client privilege and the > work product doctrines. This e-mail may also be protected by section 19a-17b > of the CT General Statutes. > > > If you have received this message in error, please notify Middlesex Health > System by sending a reply email to the sender or calling the Middlesex > Hospital Privacy Office Hotline at 860-358-4630 and then delete this email > and all attachments. > > The information contained in this email and any attached files from Middlesex > Health System are confidential under federal and state law and are intended > only for the person to whom they are addressed. If you are not the intended > recipient, you are hereby notified that any inappropriate use or reproduction > of the information is strictly prohibited and may subject you to civil or > criminal penalties. > > ----------------------------------------- > This E-mail contains PRIVILEGED AND CONFIDENTIAL INFORMATION > intended only for the use of the Individual(s) named above. If you > are not the intended recipient of this E-mail, or the employee or > agent responsible for delivering it to the intended recipient, you > are hereby notified that any dissemination or copying of this > E-mail is strictly prohibited. If you have received this E-mail in > error, please immediately notify us at (865)374-4900 or notify us > by E-mail at [email protected] > _______________________________________________ > Sepsisgroups mailing list > [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
