The bolus needs to be completed within the first three hours for compliance.
For best patient care it should be infused over 30-60 minutes Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, October 07, 2014 8:45 AM To: [email protected] Subject: [Sepsis Groups] IV Bolus 30 ml/kg over 30 minutes Hello, I have a question about IV bolus bundle compliance. I have noted in the 3-hour Bundle to administer 30 mL/kg Crystalloid for hypotension or Lactate >/= 4 mmol/L and that this is over 30 minutes. My question is this, to be complaint must the entire bolus be completed within 30 minutes? For example, for a 100 kg patient, the total bolus would be 3000 ml over 30 minutes (6000 ml/hr). I am trying to understand how we could meet this measure for an obese patient population that may require > 4 Liters. Thank you for your attention in this matter. Sincerely, David L Threatt RN, BSN Division Director of Clinical Informatics/EHR HCA South Atlantic Division 900 Island Park Dr. Suite 102 Charleston, SC 29492 (t) 843-856-7959, (m) 980-230-9244
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