The guidelines state to take the weight closest to crystalloid fluids. So for the first one, I think I would take the 80. For the second, I would just take the first weight.
Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center 484-476-8092 Pager: 5240 [cid:[email protected]] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Orth, Claudia Sent: Tuesday, June 28, 2016 9:58 AM To: hiqrimprove-poc-discuss ([email protected]); [email protected] Cc: Horton, Kirsten Subject: [EXTERNAL] [Sepsis Groups] Fluid Resuscitation Question Hi All, We have a case where the patient's stated weight at the time of diagnosis for Severe Sepsis is 80kg. The patient was given 2000cc of fluid which would not have met the 30ml/kg measure criteria. However several hours later outside of the 6 hour window the patient is actually weighed and his weight is ONLY 50kg!!! Are we okay as we are abstracting retrospectively to answer "Yes" to the 30ml/kg crystalloid fluid bolus question? Another scenario would be a patient (and this is rare, but can happen) that develops Severe Sepsis but is never actually weighed until the next day. If his weight at that time is such that the amount of fluid received is 30ml/kg can we answer "YES" there as well, even though the provider ordering the fluids at the time is not doing so based off of an actual weight? Thanks so much in advance for any guidance! Best, ~Claudia Claudia Orth BSN, RN, CCRN-K Regional Sepsis Coordinator Clinical Quality Munson Medical Center 1105 Sixth Street Traverse City, MI 49684-2386 (231) 935-5692 (Voice) (231) 318-0394 (Pager) [email protected]<mailto:[email protected]>
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