Agree! That's what they make ventilators for. Acute renal failure from ATN is much worse. Treat the shock!
Thomas Quinn, MD Medical Director, Critical Care Services Maury Regional Medical Center Columbia, TN ________________________________ From: [email protected] [[email protected]] On Behalf Of [email protected] [[email protected]] Sent: Tuesday, October 01, 2013 3:51 PM To: [email protected]; [email protected] Cc: [email protected]; [email protected] Subject: Re: [Sepsis Groups] fluid resuscitation in CHF or renal patients No, they do not exclude. I tell our house staff that the patient will die of Septic Shock WAY before they will die of fluid overload-so give the full recommended amount, keep them from dying from Septic Shock, and worry about taking the fluids off later!!! :) Susan M. McKinney, RN Clinical Quality Coordinator For Sepsis Clinical Documentation Specialist Rapid City Regional Hospital 605-719-4428 605-484-7381 [email protected] From: [email protected] [mailto:[email protected]] On Behalf Of Tracey Helmick Sent: Tuesday, October 01, 2013 12:41 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]> ________________________________ Regional Health's mission is to provide and support health care excellence in partnership with the communities we serve. Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws . If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments. DISCLAIMER: The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
