Yes we volume optimize at our hospital.  There are noninvasive and less 
invasive systems out there.  We have made this nurse driven – this is very 
helpful so we are not just basing on B/P which can be deceiving.

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501
Phone: 931-783-5035 Fax: 931-783-5039
[email protected] | crmchealth.org |Facebook | Twitter
Cookeville Regional Medical Center: Building Healthier Communities

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Jenny Clarke
Sent: Friday, November 22, 2019 1:59 PM
To: Pamela Green
Cc: [email protected]
Subject: Re: [Sepsis Groups] Fluid management

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We are looking into the Argos monitor to help Decide if fluid or pressors but 
wanted to see if others use advance hemodynamic??

On Fri, Nov 22, 2019, 8:15 AM Pamela Green 
<[email protected]<mailto:[email protected]>> wrote:
Maintenance 150 ml/hr Unless Fluid responsive continues then 500 ml bolus over 
15 to 30 min. And reassess. Vasopressor if continues to be hypotensive after 
fluid resuscitation of course and continue with boluses as indicated. Pam

From: Sepsisgroups 
<[email protected]<mailto:[email protected]>>
 On Behalf Of Jenny Clarke
Sent: Tuesday, November 12, 2019 3:43 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Fluid management

What is everyone using for fluid management after the 30 ml/kg? Thanks for help

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