Potential shock pt: If there is any documentation within the 6 hour timeframe to indicate lactate elevation is due to an infectious process with unknown source--then I would say yes.
Otherwise, if no indication of infectious source it would be excluded. Marie Pierce MSN, RN, CCDS Quality Specialist Quality and Resource Management McLaren Bay Region email: marie.pier...@mclaren.org office phone: (989) 894-3881 -----Original Message----- From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org Sent: Tuesday, March 21, 2017 3:11 PM To: sepsisgroups@lists.sepsisgroups.org Subject: Sepsisgroups Digest, Vol 239, Issue 1 Send Sepsisgroups mailing list submissions to sepsisgroups@lists.sepsisgroups.org To subscribe or unsubscribe via the World Wide Web, visit https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Flistinfo.cgi%2Fsepsisgroups-sepsisgroups.org&data=01%7C01%7Cmarie.pierce1%40mclaren.org%7C191702c0783e4338ace708d4708e049c%7C82021bda879141b4807aff5b548750e6%7C0&sdata=D49MWylxNr3b7XFNJ0ZZt28D4MP3GabEVk148ivr8gc%3D&reserved=0 or, via email, send a message with subject or body 'help' to sepsisgroups-requ...@lists.sepsisgroups.org You can reach the person managing the list at sepsisgroups-ow...@lists.sepsisgroups.org When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Septic shock question (Davis, Diana) ---------------------------------------------------------------------- Message: 1 Date: Mon, 20 Mar 2017 17:58:40 +0000 From: "Davis, Diana" <dida...@cmhregional.com> To: "'sepsisgroups@lists.sepsisgroups.org'" <sepsisgroups@lists.sepsisgroups.org> Subject: [Sepsis Groups] Septic shock question Message-ID: <bn6pr13mb0947c73172d6a1fa8e0a6bc8a2...@bn6pr13mb0947.namprd13.prod.outlook.com> Content-Type: text/plain; charset="utf-8" Septic shock To everyone: Hoping to get some clarification re: potential septic shock pt. 1207- B/P- 84/57 P- 135. Lactate at 1430- 4.8- lactate at 1810- 4.3 WBC- 0.1 at 1621 Pt. weight- 73.28 Kg- pt received 1500cc NS - will fallout for this No source identified Will this patient meet septic shock due to lactate level? We cannot come to conclusion 100%- so looking for help from everyone. I say yes. Thank you. Diana Davis, Quality Outcomes Coordinator CMH Regional Health System 937-382-9315 Diana Davis, Quality Outcomes Coordinator CMH Regional Health System 937-382-9315 Disclaimer The information transmitted via this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or proprietary information. Any use, review, retransmission, dissemination or other use of, or pursuing of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited. If you are the recipient of this e-mail transmission in error, please reply to the sender and delete the material from any computer. Thank you This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast Ltd, an innovator in Software as a Service (SaaS) for business. Providing a safer and more useful place for your human generated data. Specializing in; Security, archiving and compliance. To find out more visit the Mimecast website. -------------- next part -------------- An HTML attachment was scrubbed... URL: <https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Fpipermail%2Fsepsisgroups-sepsisgroups.org%2Fattachments%2F20170320%2Faa5a8f6a%2Fattachment.html&data=01%7C01%7Cmarie.pierce1%40mclaren.org%7C191702c0783e4338ace708d4708e049c%7C82021bda879141b4807aff5b548750e6%7C0&sdata=y2QSkp0YDVtgvudgONCAUjOmmft9SDMhnK8NsKizcsw%3D&reserved=0> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Flistinfo.cgi%2Fsepsisgroups-sepsisgroups.org&data=01%7C01%7Cmarie.pierce1%40mclaren.org%7C191702c0783e4338ace708d4708e049c%7C82021bda879141b4807aff5b548750e6%7C0&sdata=D49MWylxNr3b7XFNJ0ZZt28D4MP3GabEVk148ivr8gc%3D&reserved=0 ------------------------------ End of Sepsisgroups Digest, Vol 239, Issue 1 ******************************************** McLaren confidentiality statement: "The information contained in this communication, including attachments, is confidential, may be privileged, and is intended only for the use of the named recipient(s). Unauthorized use, disclosure, forwarding or copying is strictly prohibited and may be unlawful. If you have received this communication in error, please notify me IMMEDIATELY at the phone number or pager listed above." _______________________________________________ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
