Burn Navigator® User’s Manual
Page 42
Cause of Alert or Message
Alert or Message Text
The user indicates that the patient is
hypotensive, hyperglycemic, on
pressors or on diuretics when the
algorithm
recommends
a decrease in
fluid rate
“Alert! Consult with attending physician about an
appropriate fluid rate during presence of
hypotension, hyperglycemia, pressors or
diuretics.”
The new recommendation exceeds
+/- 25% from the current infusion rate
and is at least a 100 mL/hr change
“
Alert!
The new recommendation e/-
25% of the current rate and is at least a 100 mL/hr
change. Notify the attending physician.”
The infusion rate has averaged over
1,000mL/hr for the last six hours
“
Alert!
The infusion rate has averaged over 1,000
mL/hr for the last 6 hours. Notify the attending
physician.”
User adjusts the fluid rate to less than
the minimum recommendation
(Maintenance Rate)
“
Alert!
The adjusted rate is below the
Maintenance Rate of 100 mL/hr.”
The user adjusts the fluid rate to more
than the maximum recommendation of
2,000 mL/hr
“
Alert!
The adjusted rate is above 2,000 mL/hr.
Consult with attending physician regarding this
rate.”
24 hour projection is or exceeds 200
mL/kg.
“
Alert!
24 hour projection is [200] mL/kg. Review
the Volume and I/O graphs. Consult with attending
physician. Consider albumin or other intervention.
The patient has received a cumulative
volume of 200mL/kg within 24 hours.
“
Alert!
The patient has received more than
200mL/kg in 24 hours
and may be over-
resuscitated. Complete the patient checklist and
notify the attending physician. Do you want to go
to the checklist now?”
The patient has received a cumulative
volume of 250mL/kg within 24 hours.
“
Alert!
The patient has received more than
250mL/kg in 24 hours
and may be over-
resuscitated. Complete the patient checklist and
notify the attending physician. Do you want to go
to the checklist now?”
72 hours post burn has been reached. “
Alert!
The 72hr HPB resuscitation period has
ended. The patient will be set to inactive and no
new data entry will be allowed.”
The user enters a volume (possibly
bolus) of the primary resuscitation fluid
in the additional fluids screen
“
Alert!
You entered additional volume for the
primary resuscitation fluid!”
