Theresa I dont have stroke volume optimization totally protocolized yet at this point but I am teaching it. We teach our nurses in the hemodynamic class that stroke volume optimization is a great way to know or estimate where your patient is on their frank starling curve. There are some great studies in the literature as well. The algorithm I teach is that if you have a >10% change in your stroke volume after a fluid bolus (250 mL or 500mL over 15 minutes), or after a passive leg raise then your patient is on the upward portion of their frank starling curve.
I am developing a progress note for our physicians for the tissue perfusion/fluid reassessment piece. Once I have this ready for print I will be happy to share. Some of the boxes for them to check will be similar to o Stroke Volume increased with Passive Leg Raise o Stroke Volume increased with Fluid bolus Angela Craig APN,MS,CCNS CNS for ICU Cookeville Regional Medical Center 931-783-5035 ________________________________ From: Sepsisgroups [[email protected]] On Behalf Of Posani, Theresa [[email protected]] Sent: Thursday, September 24, 2015 11:42 AM To: <[email protected]> ([email protected]) Subject: [Sepsis Groups] stroke volume index Anyone using SVI with their sepsis patients regarding fluid resuscitation/management? Do you have protocols that you would share? How long or what are the stopping points to the use of SVI for fluid resuscitation/management? Are you using 250, 500, or 1000 ml? and how often? Thank you Theresa Posani, MS, RN, ACNS-BC, CCRN Med/Surg CNS Sepsis Coordinator (817) 250-3907 office (972) 838-7954 cell [email protected]<mailto:[email protected]> [cid:[email protected]]A Clinical Nurse Specialist (CNS) is a Masters prepared Advance Practice Registered Nurse whose function is to improve outcomes in patient care. Functioning in five sub roles including:Expert in Clinical Practice, Educator, Leader, Researcher and Consultant, we influence our 3 spheres of practice; Patient Care, Nursing and Systems. ________________________________ The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system. This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com
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