Do you interpret the manual that if a patient develops severe sepsis and has a 
lactate over 4 - as Septic shock?  With or without hypotension?

What about the timeframe that the fluids must be infused by?  So if it is 
charted that the total volume of fluids wasn't infused for 8 hours- then within 
an hour after that there is an episode of hypotension- does that start the 
clock for the persistent hypotension and for the re-evaluation?

Just wondering your ideas?


Suzette Boyer RN
Quality Operations Analyst
St. Mary-Corwin Medical Center
719-557-5337
1008 Minnequa Ave
Pueblo, CO  81004
[email protected]<mailto:[email protected]>
[cid:[email protected]]



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