In our ICU we use LR as the default except in severe liver disease or
hyperkalemia, to both avoid the acidosis - which often complicates resp failure
management and b/c of recent data suggesting a mortality benefit when
resuscitation is done with low chloride solutions.
barry
Sent from my iPad
On Nov 26, 2012, at 4:32 PM, "Mary Draper" <[email protected]>
wrote:
> We use normal saline which is recommended by the guidelines.
>
>> Mary Draper RN BSN CCRN
>> Quality Manager-Best Practice Support
>> Quality Management Supervisor
>> Office (925) 674-2045
>> Cell (925) 451-8792
>> Fax (925) 674-2373
>> [email protected]
>
>
> On Nov 21, 2012, at 8:31 AM, "[email protected]"
> <[email protected]> wrote:
>
>> The question is witch cristaloid to use......saline solution or ringer?....
>>
>> From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network
>>
>> ----- 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
>>
>> <images.jpeg>
>>
>> Dr. Adrián Verdín Z.
>> Terapia intensiva
>> Anestesia
>> 614 159 3883 cell
>> 614 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 CCRN
>>> Quality Manager-Best Practice Support
>>> Quality Management Supervisor
>>> Office (925) 674-2045
>>> Cell (925) 451-8792
>>> Fax (925) 674-2373
>>> [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!
>>> _______________________________________________
>>> Sepsisgroups mailing list
>>> [email protected]
>>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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