Yes, this is what I meant that we use. Jacque Coons, BS RRT ASLMC QM Coordinator 414-649-7145 Pager 414-222-1646 Fax 414-649-7671
Work like you don't need the money
Love like you've never been hurt
Dance like nobody's watching
Sing like nobody's listening
Be surprised like you were born yesterday
Live like it's heaven on Earth!
"Nancy Brunner"
<nancy-nurse@comc
ast.net> To
Sent by: "'Coon, Joshua'"
sepsisgroups-boun <[email protected]>,
[email protected] <[email protected]
roups.org g>
cc
05/07/2012 09:52 Subject
AM Re: [Sepsis Groups] Lactic acid
result reporting.
Please respond to
nancy-nurse@comca
st.net
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]
From: [email protected]
[mailto:[email protected]] On Behalf Of Coon,
Joshua
Sent: Wednesday, May 02, 2012 8:45 AM
To: [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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