Good Evening, Can someone please explain why we are held accountable to give 30 ml/kg for hypotension prior to time zero?
Time zero: 0954 (0420: RR 22, 0435 Temp 35.0; 0420 SBP 87; 0954 H&P: possible sepsis). The patient received 500 ml boluses X4: at 0430, 0929, 1154 & 1210. Pt weighed 53 kg/required 1530 ml. The miss is: we did not give 30 ml/kg within 3 hours of initial hypotension (0420). Do you all give 30 ml/kg for all hypotension, even if the provider does not think sepsis is the cause for the hypotension? In this case we gave more than enough fluid within 3 hours of time zero, but obviously still missed. Any thoughts? Thanks, Molly Molly Duane RN, BSN, CCRN-K Sepsis Program Coordinator Detroit Receiving Hospital Harper-Hutzel Hospital Office: 313-745-4340 Cell: 248-709-6218 Email: [email protected]<mailto:[email protected]> This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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