MAP and CVP give you different info about pt than say scvo2 or lactate clearance. If they are sampling scvo2, repeat lactate is arguably redundant esp if clinical course and other markers are going in the right direction. Having more info is obviously helpful but using good clinical judgement and minimizing test is frugal practice. After all the whole point is to improve care and decrease cost.
Edris Afzali, MD Diplomate of the American Board of Emergency Medicine On Jul 11, 2014 12:09 PM, <[email protected]> wrote: > 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 > ******************************************** >
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