Hi Tracey, the common theme in regards to these types of patients is that we 
can treat CHF & ARF...it is the sepsis that can cause irreversible harm...hope 
this helps.
Respectfully,

Lea Ann Kellum, MSN, RN, CCRN, CEN
Clinical Educator, Critical Care
Department of Clinical Education and Research
Kennedy University Hospital
Cherry Hill Campus
Office  856-488-6790
Cell     856-298-8785
Email:  [email protected]




From: [email protected] 
[mailto:[email protected]] On Behalf Of Tracey Helmick
Sent: Tuesday, October 01, 2013 2:41 PM
To: [email protected]
Cc: [email protected]; [email protected]
Subject: [Sepsis Groups] fluid resuscitation in CHF or renal patients

Our institution continues to monitor and assess our Sepsis patient data.  We 
are having difficulty meeting the new 30ml/kg recommendations for fluid 
resuscitation.  We are finding that some of our outliers are the patients with 
CHF or renal failure.  Is this a common barrier and if so, what are other 
institutions doing to assure those patients are receiving adequate fluid 
resuscitation without causing harm to the patient? Should we omit those 
patients from our data collection?

Respectfully,

Tracey Helmick RN, CCRN
Meadville Medical Center
MMC Severe Sepsis Team Nurse Champion
[email protected]<mailto:[email protected]>


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