We use 20mL/kg 0.9% sodium chloride for an initial bolus for emergency department patients. In ward patients we give an initial bolus of 500mls as per the sepsis pathways for the SEPSIS KILLS program which is in place across New South Wales hospitals, Australia.
Mary Fullick Sepsis Program Lead|Clinical Excellence Commission Level 17, McKell Building 2 - 24Rawson Place, Sydney. 2000 Tel 02 9269 5542 | Fax 02 9269 5599 | [email protected] www.cec.health.nsw.gov.au -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Sunday, 14 June 2015 5:11 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 160, Issue 12 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Fluids in non-shock sepsis (Myran, Robin) ---------------------------------------------------------------------- Message: 1 Date: Fri, 12 Jun 2015 12:15:39 -0700 From: "Myran, Robin" <[email protected]> To: "Stroud, Shalan" <[email protected]>, <[email protected]> Subject: Re: [Sepsis Groups] Fluids in non-shock sepsis Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Shalan - We use the previous guideline of 20 mL/kg for those patients with a lactate 2.0 - 3.9 who are not hypotensive. If they become hypotensive, we add the additional 10 mL/kg. Robin Myran, MSN, RN, PCCN Sepsis Coordinator Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658 Office: (949) 764-4588 Fax: (949) 764-5387 Cell: (949) 300-9137 [email protected] <mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Stroud, Shalan Sent: Thursday, June 11, 2015 12:37 PM To: [email protected] Subject: [Sepsis Groups] Fluids in non-shock sepsis The expectation for 30 ml/kg IVF in septic shock is in response to hypotension/L.A. >4.0. What have you all set for initial volume to be infused in patients with a L.A. <4.0 and not hypotensive (yet) who of course, still need fluid? We are using the traditional 1 liter and then re-evaluate but making the wording and expectation for each population remains pretty unclear for our providers. Any ideas you all have would be great! Shalan Stroud RN, APRN, ACNS-BC, ACCNS-AG Critical Care Clinical Nurse Specialist Nursing Resources | Shawnee Mission Medical Center |9100 W. 74th St., Shawnee Mission, KS 66204 P: 913-676-7476 Much more than medicine. ShawneeMission.org | Facebook.com/ShawneeMission Please note that the information contained in this message and any files transmitted with it are privileged and confidential and are protected from disclosure under the law, including the Health Insurance Portability and Accountability Act (HIPAA). 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 and may subject you to criminal or civil penalties. If you have received this communication in error, please notify the sender by replying to the message and delete the material from any computer. Thank you, Hoag Memorial Hospital Presbyterian and its Affiliates -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150612/fcbc451c/attachment.html> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 160, Issue 12 ********************************************* This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
