No UOP for 8 hours is excessive. I suggest that in hospital UO less than 0.5 ml/kg per hour for three hours is likely indicative of poor perfusion or kidney dysfunction.
In nursing home maybe something like UO < 200 for 8 hours. But if other signs are present UO, should be assessed more often than 8 hours. UO is a very powerful vital sign, but is often not monitored well. G From: Karin Molander <[email protected]<mailto:[email protected]>> Date: Tuesday, April 1, 2014 6:48 PM To: "Kane, Ellen - SJHMC" <[email protected]<mailto:[email protected]>> Cc: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> Subject: Re: [Sepsis Groups] early recognition of sepsis in skilled nursing homes In the planning stages, Idea is for badge card for SNFs and EMS. With SIRS (rr >20, p> 90, T >38 or <36.) that they can "see". + no uop for 8 hours, glucose > 120, altered mental status. ( May add risk factors here: age >, liver dz, kidney dz, diabetes, immunocompromised) If two met and present or presumed infxn, then + sepsis screen Ivf, blood cultures, CBC, lactate transfer to higher level of care if need be. EMS notify + sepsis screen w ring down to receiving hospital (in Britain they do POC lactates on rigs!). More research done overseas... Karin Molander MD Mills-Peninsula hospital Burlingame, CA Sent from my iPhone On Mar 31, 2014, at 10:27 AM, "Kane, Ellen - SJHMC" <[email protected]<mailto:[email protected]>> wrote: Is anyone working on a protocol for early recognition of sepsis for patients in skilled nursing homes in their area? Ellen Kane, RN, MSN, CPHQ Quality Specialist Quality Department Dignity Health St. Joseph's Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013 602-406-4939 (O) 602-746-0725 (P) 602-406-4115 (F) [email protected]<mailto:[email protected]> Caution: This email is both proprietary and confidential, and not intended for transmission to or receipt by any unauthorized persons. If you believe that it has been received by you in error, do not read any attachments. Instead, kindly reply to the sender stating that you have received the message in error. Then destroy it and any attachments. Thank you. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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