A lactate > 2 mmol/L qualifies as organ dysfunction, meets severe sepsis criteria and requires re-measure of lactate (last indicator in the 6 hour bundle). A lactate >=4 mmol/l qualifies for the 3 and six hour bundles. The vasopressor indicator (first indicator within the 6 hour bundle) is applicable to patients who remain hypotensive after the 30 ml/kg requiring vasopressors to maintain an MAP >65mm Hg. Christa
From: [email protected] [mailto:[email protected]] On Behalf Of DanaMarie Smith Sent: Friday, November 22, 2013 9:10 AM To: [email protected] Subject: [Sepsis Groups] Lactic Acid Im sorry just one more question. For the Lactic Acid, I have been collecting if its >4 as criteria for severe sepsis but I have been seeing articles saying they are considering >2 as criteria for severe sepsis. So I guess my question is do I count Lactic Acid >2 as severe sepsis and the Lactic Acid >4 is for the 6 hr bundle? Thank You, Dana Dana Marie Smith RN Clinical Data Analyst Quality/Performance Improvement Phone # 215- 612-5354 Fax # 215-612-4463 **************************************************************** This communication, including attachments, may contain information that is confidential. It constitutes non-public information intended to be conveyed only to the designated recipient(s). If the reader or recipient of this communication is not the intended recipient, employee, or agent of the intended recipient who is responsible for delivering it to the intended recipient, or you believe that you have received this communication in error, please notify the sender immediately by return e-mail or telephone and promptly delete this e-mail, including attachments without reading them or saving them in any manner. The unauthorized use, dissemination, distribution, or reproduction of this e-mail, including attachments, is prohibited and may be unlawful.
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