Dear Cariann, I just revised our order set, we are treating LA like MI panels. If a patient is septic, we are drawing LA on arrival (or first impression of sepsis) then every 4 hrs x 2. If a liver failure patient is not septic, then we do not re-measure a LA. However, if this liver failure patient does have a bump up in the LA, we are still treating and trending LA; we do not want to cause more damage. Hope this helps Lisa Dumont- sepsis coordinator Southcoast Health
-----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, July 11, 2014 3:09 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 116, Issue 4 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. lactic acid (CARIANN M DAHLQUIST) ---------------------------------------------------------------------- Message: 1 Date: Thu, 10 Jul 2014 15:55:54 -0500 From: "CARIANN M DAHLQUIST" <[email protected]> To: <[email protected]> Subject: [Sepsis Groups] lactic acid Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Hello, Inquiring how other facilities are doing with physicians obtaining the second lactic acid within 6 hours if initial was > 2mmol/L? I am having some push back from our Critical Care that feel as though this leads to additional labs being drawn that they do not feel are needed as they are treating the patient based on MAP, CVP, blood pressure, etc... They do have several good points such as a patient that has liver failure and has a baseline lactic of 2.05, why continue to drawn more labs? Any ideas or processes would be appreciated. Thanks. CariAnn CariAnn Dahlquist RN Quality Management Altru Health System | Grand Forks, ND 701.780.5339 phone | 701.780.1942 fax | [email protected] ( mailto:[email protected]) --------------------------------------------------------------------------------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140710/83c49534/attachment.html> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 116, Issue 4 ******************************************** CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. Any unauthorized use or disclosure is strictly prohibited. If you are not the intended recipient, please notify the sender by return email, delete this email, and destroy any copies. Please note that any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Southcoast. The recipient should check this e-mail and any attachments for the presence of viruses. Southcoast accepts no liability for any damage caused by any virus transmitted by this e-mail. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
