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Select the Enter Lact key to enter a lactate value. When you have entered a value, or if a lactate value
had previously been entered, the box is checked.
Check the
Take Blood Cultures box when you have taken blood cultures.
Check the
Administer Intravenous Antibiotics box when you have started broad-spectrum antibiotic
therapy.
The remaining three recommendations are automatically compared to the Sepsis Resuscitation Bundle
criteria, if the measurements are available on the monitor. A box is checked when the corresponding
recommendation has been fulfilled.
Depending on your configuration, continuously measured CVP values may be disregarded if they
exceed a set limit. Whether this is so, and which limit is applied, is set in the monitor's Configuration
mode.
If you have manually measured ScvO
2
or CVP, you can enter the values using the Enter ScvO2 and
Enter CVP keys. The box is checked automatically if the value fulfils the recommendation.
The boxes for MAP, ScvO
2
/SvO
2
and CVP can also be checked manually (for cases where the
monitor does not measure them) but only when the timer has reached 4 hours to ensure that these
values are achieved and maintained mid-term. Check these boxes if the recommendation has been
fulfilled.
To see more details about the recommendations, select the
Show Details key.
Select
Confirm when the check boxes reflect the current treatment status.
Checking The Sepsis Resuscitation Bundle Window
During the Sepsis Resuscitation Bundle you can open the Sepsis Resuscitation Bundle window at any
time to check the status or to make entries. The recommendations are shown as follows:
• Recommendations which are not yet fulfilled are shown in black. They also appear in the list on
the lower area of the
ProtocolWatch Screen.
• Recommendations which are overdue are shown in orange.
• Recommendations which have been fulfilled and confirmed are shown in gray. They no longer
appear in the list on the lower area of the
ProtocolWatch Screen.
Previewing the Sepsis Management Bundle
At any time during the Sepsis Resuscitation Bundle you can preview the Management Bundle in order
to see which recommendations will follow there.
• Select the
Preview Managmnt key.
Ending The Sepsis Resuscitation Bundle
When all recommendations have been fulfilled and confirmed, or when 6 hours have passed since the
bundle started, the Sepsis Resuscitation Bundle is ended.
You are asked to confirm with the
Yes key that the Sepsis Management Bundle should now be started.
If you select
No, the Sepsis Resuscitation Bundle is extended for 1 hour.
Sepsis Management Bundle
The stabilization recommendations from the Sepsis Management Bundle are presented and the
implementation of the recommendations is monitored.
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