The SSC recommends lactic acid be drawn within 3 hours, and to re-measure the lactic acid until it is normalized. Numerous studies have found the relationship between elevated lactic acid and higher mortality rates, as well. Bands are an important marker for SIRS, but don't have much to do with hypoperfusion related to an infection, just confirming an actual infection. In our ED, and also on our acute care units during a Rapid Response, we use the I-STAT machine to draw a lactic acid with a venous sample, the results come back within minutes.
Sara Valentine, BSN, RN, CNRN Clinical Sepsis Coordinator Medical Center Hospital ph: 432.640.2198 From: [email protected] [mailto:[email protected]] On Behalf Of Katzaman, Alecia Sent: Tuesday, April 23, 2013 6:48 AM To: '[email protected]' Subject: [Sepsis Groups] Lactic acid, Bands, and PCT Who uses what? What comes back faster? What have you found the most reliable indicator for your patients, more specifically those in the ED. Alecia Fick, MSN, RN Emergency Department Quality Improvement Coordinator [cid:[email protected]] P.O. Box 16052 Reading, PA 19612-6052 [email protected]<mailto:[email protected]> www.readinghealth.org<http://www.readinghealth.org/> PHONE: 484-628-4810 Advancing Health. Transforming Lives. ________________________________ ----- Email Disclaimer ----- This email and any files transmitted with it are confidential and are intended for the named recipient(s). If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any copying, disclosure, dissemination, distribution or review of it or its contents is prohibited. If you have received this email in error, please notify the sender and immediately delete this email from your system. ---------------------------------------
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