We use 4 hours. Our intensivists think that any time earlier (i.e. 3 hours)
isn't enough time to see clinical significance.
Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
Ms. Gibbs;
First I would emphasize that metformin does not exactly falsely elevate lactate
levels; it has been shown to actually elevate levels as part of gluconeogenesis
from several sources. What is more likely is a coincidental lactate elevation
in the face of infection.
I would caution
