New to the list serve so I apologize if this has been asked previously....Currently, we report Fluid Bolus of 20ml/kg, CVP for lactate > 4 or inability to maintain MAP and initiation of vasopressors if MAP < 65 as separate measures. Some of our ED physicians have questioned if we should wait to start pressors until we have gotten to a CVP of 8.
Example: pt has a MAP of 60 and a CVP of 4 after the fluid bolus -we look for the physician to start pressors. I'm wondering what other facilities are doing? Thanks!
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