The sepsis core measure requires 30ml/kg. Thank you, Kim
Kim Izard, BS, RN Supervisor Clinical Outcomes/Core Measures SSM Health - St. Louis Network 1015 Corporate Square Drive Suite 240 Creve Coeur, MO 63132 Office - 314-989-2137 Cell - 618-670-3616 [email protected]<mailto:[email protected]> [cid:[email protected]] "Change is a challenge and an opportunity; not a threat" -Prince Phillip of England This e-mail message is confidential, intended only for the named recipient(s) above and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s) please notify the sender at the e-mail address or telephone number above and delete this e-mail from your computer. Thank you! From: Sepsisgroups [mailto:[email protected]] On Behalf Of Myran, Robin Sent: Friday, June 12, 2015 2:16 PM To: Stroud, Shalan; [email protected] Subject: Re: [Sepsis Groups] Fluids in non-shock sepsis 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]<mailto:[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 ________________________________ Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
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