The question is witch cristaloid to use......saline solution or ringer?....

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----- Reply message -----
De: "Adrian Verdin Z." <[email protected]>
Para: "Mary Draper" <[email protected]>
CC: "[email protected]" <[email protected]>
Asunto: [Sepsis Groups] use of vasopressors
Fecha: mar., nov. 20, 2012 2:57 p. m.
Yes those are part of the 4 principal goals in surviving sepsis campain. We 
Also use the arterial line waves forms ior the plestitmographic waves for fluid 
Administracion or to use pressors


Dr. Adrián Verdín Z.Terapia intensivaAnestesia614 159 3883 cell614 1800 800 ext 
16574

El 20/11/2012, a las 10:47, "Mary Draper" <[email protected]> 
escribió:

Our facility continues to bolus an additional 3-5 liters if the lactate comes 
back ≥ 4. If after that and we have a CVP that is still < 8, we would continue 
to bolus. Thanks.   Mary Draper RN BSN CCRNQuality Manager-Best Practice 
SupportQuality Management SupervisorOffice (925) 674-2045Cell (925) 451-8792Fax 
(925) [email protected]<image001.png>  From: 
[email protected] 
[mailto:[email protected]] On Behalf Of Hefton, 
Suzanne
Sent: Monday, November 19, 2012 5:55 PM
To: [email protected]
Subject: [Sepsis Groups] use of vasopressors 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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