Might there be a consistent chart that is acceptable for IBW to be used for the 
obese 
Sepsis pt. to help determine the appropriate 30ml/kg volume?
Also, I too would like to know where I may find some research to support fluid 
administration to IBW
Thank you

Tish Poserina 
Sepsis Coordinator
St Mary Medical Center

[email protected]
W: 215.710.4347
C: 215.710.7644

1201 Langhorne-Newtown Road
Langhorne, PA 19047

stmaryhealthcare.org I  Facebook I Twitter I LinkedIn





-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Wednesday, December 20, 2017 5:15 PM
To: [email protected]
Subject: [External] Sepsisgroups Digest, Vol 273, Issue 2

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Today's Topics:

   1. Re: Sepsis patient surveys (Malik,Imrana)
   2. Re: FLUID REQUIREMENTS (Davis, Diana)


----------------------------------------------------------------------

Message: 1
Date: Tue, 19 Dec 2017 00:59:25 +0000
From: "Malik,Imrana" <[email protected]>
To: "'[email protected]'"
        <[email protected]>,
        "'[email protected]'"
        <[email protected]>
Subject: Re: [Sepsis Groups] Sepsis patient surveys
Message-ID:
        <94b0eb0d0815a04eb8719ae57489f7833b5a8...@dcpwpexmbx07.mdanderson.edu>
Content-Type: text/plain; charset="us-ascii"

Resending out Jocelyne's request since I am interested in sepsis surveys as 
well, especially if they are validated.

Thanks Jocelyne for bringing this question up.

Best,
Imrana

Imrana Malik, MD FCCP
Associate Professor
Department of Critical Care
UT MD Anderson Cancer Center
1515 Holcombe Blvd, Unit 112
Houston, TX 77030
713-792-5040 (Office)
713-745-1869 (Fax)


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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Wednesday, November 15, 2017 2:36 PM
To: [email protected]
Subject: [Sepsis Groups] Sepsis patient surveys

Hello All,
Is there anyone that would be willing to share what they have in place for 
sepsis patient surveys at their facility?  Any advice on increasing survey 
returns would be appreciated as well.
Thank you in advance,
Jocelyne
[sepsis_logo_update_copy_300x265[1]][Brain_In_Blue_by_SilverGryphon8[1]]

"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie

Jocelyne F. Davis, MSN, RN, CNRN
Stroke and Sepsis Programs Coordinator
Ph:  (941) 342-1139
Fax: (941)379-5466
Doctors Hospital of Sarasota
5731 Bee Ridge Road
Sarasota, FL 34233
doctorsofsarasota.com

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------------------------------

Message: 2
Date: Tue, 19 Dec 2017 21:33:10 +0000
From: "Davis, Diana" <[email protected]>
To: "'Stueland, Jeanne'" <[email protected]>, "'Belfi,
        Karen'" <[email protected]>, Nicole Dyess <[email protected]>,
        "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] FLUID REQUIREMENTS
Message-ID:
        
<bn6pr13mb094760b2ab4b949d359c4ac0a2...@bn6pr13mb0947.namprd13.prod.outlook.com>

Content-Type: text/plain; charset="utf-8"

Can anyone please send references supporting using IBW for fluid requirements? 
I was under the impression that as of 01/01/18 this change was to be made to 
the Sepsis bundle but I am having trouble finding supporting evidence.

Thanks,
Diana Davis, Quality Outcomes Coordinator CMH Regional Health System
937-382-9315

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Stueland, Jeanne
Sent: Monday, July 31, 2017 2:18 PM
To: 'Belfi, Karen'; Nicole Dyess; [email protected]
Subject: [EXTERNAL] Re: [Sepsis Groups] FLUID REQUIREMENTS

This came from the guidelines presented on 7/26/17:

If there is physician/APN/PA documentation identifying the patient has obesity 
(defined as a Body Mass Index >30), the clinician may choose to use Ideal Body 
Weight (IBW) to determine the 30ml/kg crystalloid fluid volume. If the 
clinician prefers to use IBW, the clinician must state that IBW will be the 
weight used to determine the 30 mL/kg as the target ordered volume.


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Belfi, Karen
Sent: Monday, July 31, 2017 11:01 AM
To: Nicole Dyess; 
[email protected]<mailto:[email protected]>
Subject: Re: [Sepsis Groups] FLUID REQUIREMENTS


This message came from an external source. Please exercise caution when opening 
any attachments or clicking on links.


The guidelines state not to use ideal body weight.



                Use the patient's actual weight. Use estimated weight only if 
actual weight is not available to determine the volume of crystalloid fluids 
the patient should receive. Do not use ideal weight.


Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Nicole Dyess
Sent: Saturday, July 29, 2017 12:02 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [EXTERNAL] [Sepsis Groups] FLUID REQUIREMENTS


This message originated from outside MLHS systems. Any attachments or links 
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________________________________
For the 30ml/kg fluid requirement, is anyone using IBW for your obese patients? 
I have found conflicting statements on if this will satisfy the requirement. If 
you do use IBW, can you send me your reference that supports using it.


Thanks!
Nicole Dyess, PharmD
Antimicrobial Stewardship Team Leader
Conway Regional Health System
2302 College Ave, Conway, AR 72034
(501) 513-5152
(501) 450-2368 Fax

[Description: Description: cid:[email protected]]




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