Shalan -
We use the previous guideline of 20 mL/kg for those patients with a lactate 2.0 - 3.9 who are not hypotensive. If they become hypotensive, we add the additional 10 mL/kg. Robin Myran, MSN, RN, PCCN Sepsis Coordinator Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658 Office: (949) 764-4588 Fax: (949) 764-5387 Cell: (949) 300-9137 [email protected] <mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Stroud, Shalan Sent: Thursday, June 11, 2015 12:37 PM To: [email protected] Subject: [Sepsis Groups] Fluids in non-shock sepsis The expectation for 30 ml/kg IVF in septic shock is in response to hypotension/L.A. >4.0. What have you all set for initial volume to be infused in patients with a L.A. <4.0 and not hypotensive (yet) who of course, still need fluid? We are using the traditional 1 liter and then re-evaluate but making the wording and expectation for each population remains pretty unclear for our providers. Any ideas you all have would be great! Shalan Stroud RN, APRN, ACNS-BC, ACCNS-AG Critical Care Clinical Nurse Specialist Nursing Resources | Shawnee Mission Medical Center |9100 W. 74th St., Shawnee Mission, KS 66204 P: 913-676-7476 Much more than medicine. ShawneeMission.org | Facebook.com/ShawneeMission Please note that the information contained in this message and any files transmitted with it are privileged and confidential and are protected from disclosure under the law, including the Health Insurance Portability and Accountability Act (HIPAA). If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited and may subject you to criminal or civil penalties. If you have received this communication in error, please notify the sender by replying to the message and delete the material from any computer. Thank you, Hoag Memorial Hospital Presbyterian and its Affiliates
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