The requirements for the 30 ml/kg bolus have not changed and are either hypotension or Lactate > 4.0 in the face of sepsis Some clinicians choose to give this amount for a lactate >2 to avoid progression to shock.
Thanks, MARY ANN BARNES-DALY MS RN CCRN DC | Clinical Performance Improvement Consultant Quality & Clinical Effectiveness Team | Office of Patient Experience Sutter Health -2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] “You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.” ~R. Buckminster Fuller From: Sepsisgroups [mailto:[email protected]] On Behalf Of Jamie Natkowski Sent: Tuesday, June 28, 2016 8:13 AM To: [email protected] Subject: [External] [Sepsis Groups] Lactate for fluid Our institution seems to have some confusion in regards to what the lactate cutoff is for the 30ml/kg of fluid resucitation in the 3 hr bundle. Are we supposed to be using 2 or 4 as the cutoff per CMS? I know Surviving Sepsis uses 4. Thanks!
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