>From a UK perspective, and I'm an infrequent contributor as this forum is so >US-centric, c'mon!
Imho, of course there should be leeway. We don't know for sure that 30ml/kg is better than 25 or 28, nor whether 34 would be better still. And since fluids don't penetrate the fat compartment immediately in the acute resusc stages we should be looking more at lean body mass. Few people should weigh 107kg :) R Dr Ron Daniels BEM CEO: UK Sepsis Trust and Global Sepsis Alliance Clinical Adviser to NHS England Sent on the move from my iPhone, excuse brevity! On 26 Apr 2016, at 23:06, Mary Draper <[email protected]<mailto:[email protected]>> wrote: Does anyone know if there is any leeway with the calculated volume? For example pt weighs 107 kg which requires 3210ml. Pt only receives 3000. Does this become an opportunity for improvement? Clinically I doubt an extra 210 ml would have made an impact on the patients hemodynamics. Thanks for your feedback. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> <image003.png> "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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