These are very difficult patients. In these patients we use dynamic measurement such as stroke volume variation for starling curve responsiveness. Cvp is not helpful.
Andre Vovan MD MBA On Dec 7, 2015 1:07 PM, <[email protected]> wrote: > > > Does anyone have any good articles or anything regarding giving large > fluid boluses to a patient who is septic but also having an acute > exacerbation of CHF? Or patients on dialysis? > > > > Thanks! > > *Leslie Harris**,** BSN, RN* > > *Stroke and Sepsis Coordinator* > > Southern Hills Medical Center > > 391 Wallace Road, Nashville, TN 37211 > > Office: 615-781-4158 > > Email: [email protected] > > > > [image: image003] > > > > > > This email and any files transmitted with it may contain PRIVILEGED or > CONFIDENTIAL information and may be read or used only by the intended > recipient. If you are not the intended recipient of the email or any of its > attachments, please be advised that you have received this email in error > and that any use, dissemination, distribution, forwarding, printing, or > copying of this email or any attached files is strictly prohibited. If you > have received this email in error, please immediately purge it and all > attachments and notify the sender by reply email or contact the sender at > the number listed. > > > > 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 > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
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