Pressors and Sepsis

[CraigB-RN]

I'm looking for a good/easy reference on the progresion of pressors in sepsis. I'm going to be teaching a group of ER Nurse Residents/Interns.

I'm bing lazy and looking for things that are easy to understand, so I don't have to come up with anything myself. Yes I admit to being lazy.

Of course I also have to convince the powers that be that using CVP's in the ER when the patient is going to be there for hours before an ICU bed comes open.

/

[JohnW]

We were inserviced the other day on the "presep" triple lumen CLs that allow for cont. SVo2 monitoring. One hope is that if these lines are placed in the ED, the Docs will be more willing to really pour in the fluid, even with an "ok" BP, in light of a less than optimal mixed venous.

[CraigB-RN, MSN, RN]

I was told by our nurse clinician that we were never going to get CVP monitoring in the ER. I need to go back to a nice teaching hospital. i can't tell you how many times I'ev heard about not giving to much fluid on those patients.

[platon20]

I need to go back to a nice teaching hospital. i can't tell you how many times I'ev heard about not giving to much fluid on those patients.

I wonder how many patients at your hospital have died from an otherwise treatable condition because of this blatant ignorance regarding fluids and sepsis.