Hello, We currently have a Resident team doing a QI project for sepsis. I told them about the reluctance to give the full 30 ml/kg bolus to any patient regardless of ESRD or CHF.
We met yesterday and they had some suggestions for our order sets in regards to fluids. I also proposed that they add an area to the order set for the nurse to perform Positive Pulse Pressures at certain intervals while receiving fluids. They are presenting at our Sepsis Collaborative next week and presenting at KU School of Medicine the day after. I am certain that there will be much discussion on this at the collaborative. I will provide more detail late next week and their initial study. If we adopt their suggestions, we will keep data for them over the next year in regards to this. They are hoping to eventually publish the study. I am hoping that the QI project at Wesley Healthcare will benefit us all! Suzie Suzanne Fletcher RN, CMSRN Sepsis Coordinator Quality and Infection Prevention Wesley Healthcare 550 N. Hillside 67214 Phone: 316-962-7007 Fax: 316-962-7467 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Maryanne Whitney Sent: Thursday, February 11, 2016 10:33 PM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] Fluid resuscitation in the setting of CHF or ESRD Hi Everyone, What have been your strategies for persuading physicians to continue with fluid resuscitation in the patients who are positive for severe sepsis but also have ESRD or CHF. Any specific studies would be helpful as well. Thanks Maryanne Maryanne Whitney RN, CNS, MSN | Improvement Advisor | Cynosure Health Solutions 408-718-5027 (w) | [email protected]<mailto:[email protected]> www.cynosurehealth.org<http://www.cynosurehealth.org>
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