Yes. We do this also-- mixed with using clinical judgement from a sepsis team
of physicians (ED & Critical care Intensivists) who manage the care of these
patients. Barb
Barbara A Taylor RN BS
Performance improvement Coordinator
Lancaster General Hospital
Lancaster, PA
(717) 544-5924
From: [email protected]
[mailto:[email protected]] On Behalf Of Nancy Brunner
Sent: Friday, May 04, 2012 2:18 PM
To: 'Coon, Joshua'; [email protected]
Subject: Re: [Sepsis Groups] Lactic acid result reporting.
We use >4 (arterial) for EGDT.
For >2 we still do early cultures, early antibiotics, 20-30ml/kg fluids over
1-2 hours, glucose control (<180) only if they are in ICU, vent plateau
pressures <30.
Basically everything except those goals requiring a central line, since they
are not required to get one for this lactic acid value (>2 <4.1), unless the
SBP <90 or MAP <65 despite adequate fluid resuscitation.
Nancy
Nancy Brunner RN CCRN
Boulder Community Hospital
Boulder, Co
vm 303-938-5128
[email protected]<mailto:[email protected]>
________________________________
From:
[email protected]<mailto:[email protected]>
[mailto:[email protected]] On Behalf Of Coon, Joshua
Sent: Wednesday, May 02, 2012 8:45 AM
To:
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Lactic acid result reporting.
Can anyone help me during my sepsis collaborative this year we are looking to
implement Lactic acid as one of the values if critical it is reported. Has
anyone established a critical result for lactic acid. We have in our policy
that the values greater than 2.2 are high. No critical has been established.
And does anyone have literature on this topic? Thanks .
"Always the Best"
Joshua
Joshua Coon RN CEN
Emergency Department Administrative Charge Nurse
Florida Hospital Waterman
(352) 253-3264
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