Sepsis Pocket Card
Deb Pittman
E. Or if MD/APN/PA documents Severe Sepsis, Rule Out
Sepsis, Possible Sepsis or MD/APN/PA documented Septic
Shock.
The use of the word "sepsis" on it's on is an exclusion and can't be used for severe sepsis measure unless it is prefaced by "severe". Is the intent here just to get them to follow those steps in any case that looks like or may have the potential to turn out to be severe sepsis or septic shock?
Date: Thu, 19 Nov 2015 12:50:41 -0800
From: hospital-qu...@googlegroups.com
To: hospital-qu...@googlegroups.com
Subject: [Hosp-Quality-Share] Sepsis Pocket Card
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Lisa E.
Sal HU
You asked "Is the intent here just to get them to follow those steps in any case that looks like or may have the potential to turn out to be severe sepsis or septic shock?" the answer is yes.
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Inga Sinyangwe
According to: https://www.merckmanuals.com/professional/critical-care-medicine/shock-and-fluid-resuscitation/intravenous-fluid-resuscitation
Route and Rate of Fluid Administration
Standard, large (eg, 14- to 16-gauge) peripheral IV catheters are adequate for most fluid resuscitation. With an infusion pump, they typically allow infusion of 1 L of crystalloid in 10 to 15 min and 1 unit of packed RBCs in 20 min. For patients at risk of exsanguination, a large (eg, 8.5 French) central venous catheter provides more rapid infusion rates; a pressure infusion device can infuse 1 unit of packed RBCs in < 5 min.
Patients in shock typically require and tolerate infusion at the maximum rate. Adults are given 1 L of crystalloid (20 mL/kg in children) or, in hemorrhagic shock, 5 to 10 mL/kg of colloid or packed RBCs, and the patient is reassessed. An exception is a patient with cardiogenic shock who typically does not require large volume infusion.
Patients with intravascular volume depletion without shock can receive infusion at a controlled rate, typically 500 mL/h. Children should have their fluid deficit calculated and replacement given over 24 h (half in the first 8 h).
Inga Sinyangwe MSN, RN
Nursing Professional Development Specialist
Christiana Care Health System
Newark, DE
Anyone with best practice of calculating ideal body weight for crystalloids? Any easier calculation ?
On Tue, May 17, 2016, 1:02 PM 'Lisa E.' via Hospital Quality Share <hospital-quality-share@googlegroups.com> wrote:
You asked "Is the intent here just to get them to follow those steps in any case that looks like or may have the potential to turn out to be severe sepsis or septic shock?" the answer is yes.
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