Good Morning! Just looking for some verification of what I'm thinking- Based on what I see in the v5.0b specs, Septic Shock present, using the criteria of severe sepsis present + lactate >=4 is based on the INITIAL lactate done related to the time of presentation for severe sepsis, so that if the repeat lactate done 3 hours later is now >4, I would answer "No" to the question of whether shock was present since it was not the initial lactate. The patient did receive 30cc/kg, did not have persistent hypotension, and there was no documentation of septic shock in the record.
Any thoughts? Thanks! Pam Pamela Anderson, BSN, RN Clinical Data Abstractor Sepsis Coordinator Loyola University Health System Center for Clinical Excellence 2160 S. First Avenue | Bldg 105-3915 | Maywood, IL 60153 (O) 708-216-5544 | (F) 708-216-7867 | (E) pand...@lumc.edu CONFIDENTIALITY NOTICE** This email communication and any attachments may contain confidential and privileged PHI for the use of the designated recipients named above. Distribution, reproduction or any other use of this transmission by any party other than the intended recipient is prohibited. If you have received this communication in error, please notify the sender immediately. Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.
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