According to the Clinical Laboratory Reference guide, Lactate critical is a 
high limit of 3.4 mmol/L

Helene Borozny, RN, BSN, MPA, CPHQ
[email protected]<mailto:[email protected]>
Nursing Quality / Sepsis Coordinator

Medical Center of Trinity
9330 State Road 54 | Trinity, Florida 34655
727-834-4235
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From: [email protected] 
[mailto:[email protected]] On Behalf Of Sullivan, 
Cynthia
Sent: Sunday, June 16, 2013 5:33 PM
To: [email protected]
Subject: Re: [Sepsis Groups] Lactate levels

Hello all:
I'm canvasing the group to find out at what is the cut off result that the lab 
is required to call a Lactate level to the primary RN?
I'm pushing our lab to call if it's greater than 2.5 and I'm curious as to what 
the norm of it being a critical/panic result is.
It's a time delay in our ER when the nurse has to constantly be checking for 
the results (because they aren't panic).
Thank-you,
Cynthia

Cynthia Sullivan RN, VA-BC, CCRN, MSN
PICC Team Coordinator
 (607) 274-4466

From: 
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Lindsay 
Hindin
Sent: Friday, June 07, 2013 12:41 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Code sepsis in ED

I am looking at who you use for a Code sepsis team in the ED ? We are currently 
using lactates at triage via Advanced Nursing Interventions (ANI's) and include 
lactic acid testing on several presentations such as AMS, fever, CHF, suspected 
pneumonia and abdominal pain. Lab is calling a critical results if the lactate 
is > 2.5. This process is hardwired; we lack the second phase of implementation 
of the treatment bundle. How do you do this effectively and quickly?
Thanks

Lindsay Hindin, BSN, RN
Director of Emergency Services
South Miami Hospital
6200 SW 73 Street | Miami, FL  33143
Direct: 786-662-4301| Fax: 786-662-5101 | Ascom: 786-662-2933

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www.baptisthealth.net<http://www.baptisthealth.net/>

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