That's cryptic shock. Elevated lactate =end organ dysfunction and should be taken seriously. Central line indicated. Resuscitate and recheck to follow trend.
Define normotensive? 80 yo w baseline sbp of 160 who presents with sbp of 115? Interpret with caution. Sent from Rich's iPhone > On Mar 10, 2014, at 11:36 AM, "Carolyn Brown" <[email protected]> wrote: > > All: > > A discussion has come up at our facility. How are patients who present with > infection (known or suspected), 2 out of 4 classic SIRS criteria, > normotensive but a lactate greater than 4 mmol/L categorized? Does this > population fit into the criteria for EGDT? > > Thank you, > Carolyn > > > Carolyn Brown, RN, MSN, CCNS, ACNS-BC > Outcomes Manager--Special Projects/Sepsis Coordinator > Clinical Outcomes > New Hanover Regional Medical Center > Office: 910-343-2503 > Pager: 910-341-3994 > Fax: 910-342-3461 > [email protected] > > CONFIDENTIALITY NOTICE: > This e-mail and any files transmitted with it may contain information that is > privileged and confidential. If you are not the named addressee, you are not > authorized to read, print, duplicate, or disseminate this message or any part > of it. If you have received this message in error, please notify the sender > immediately and delete this message and any attachments. > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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