There should be no reason to under-resuscitate or over-resuscitate with many technologies that are available now. I like to stroke volume optimize these patients. By assessing arterial pressure Cardiac Index and SV as we are giving a fluid bolus, if they have a 10% increase in those variables as we are giving fluid (checking every 15 minutes) then they are on the upswing of their Frank-Starling curve. Once they quit responding we should most likely back down on the fluid. Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 ________________________________ From: [email protected] [mailto:[email protected]] On Behalf Of John Brady Sent: Tuesday, December 04, 2012 6:03 PM To: [email protected]; [email protected]; [email protected] Subject: Re: [Sepsis Groups] mortality
When you have sepsis patients that have chronic renal failure how aggressive are you with volume resuscitation? John Brady Quality Nurse Manager St. Mary Medical Center 760 242 2311 ( 5369) From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, December 03, 2012 5:56 AM To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] mortality I count by discharge ICD9 code...so anyone with severe sepsis &/or septic shock get counted for that month upon discharge...separate stats for each code. Peggy Sienecki, RN Sepsis Coordinator Fawcett Memorial Hospital Port Charlotte, FL [cid:[email protected]] From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of CARIANN M DAHLQUIST Sent: Wednesday, November 28, 2012 2:29 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] mortality Hello fellow sepsis coordinators, I am inquiring how everyone counts their sepsis mortality. I am curious if you count each patient chart or if you count by patient days? I currently only audit the critical care patients, however I am looking to expand to house wide. Any input would be appreciated- Thanks, CariAnn ------------------------------------------------------------------------------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System. ________________________________ Notice from St. Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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