A new Smart Order for Sepsis Initial Bolus enables providers to order for ideal or actual weight based on BMI. It’s super easy to find, while in “manage orders,” just type SEPSIS or BOLUS.
For those patients you deem fall outside of the 30ml/kg fluid bolus [preferably lactated ringers (LR), except in two circumstances — see the second page of SBAR LR, there is a fabulously updated order attached in this tip sheet.
There are options for a BMI over or under 30.
If you do not plan to give 30ml/kg, options for contraindication reasons are listed. Just pick the one that applies to your patient. You can then choose a set volume, or a different ml/kg.
Questions? Contact G. Sierra Schneider, RN, ICU and sepsis coordinator.