Hi, This question is for those abstractors out there (or maybe Dr. Townsend knows the answer), Am I correct to say that I cannot determine using "clinical criteria" if Septic Shock was PRESENT (septic shock present data element) if the crystalloids given did not total 30ml/kg needed? In my scenario the pt weight is 68.8 kg. (requires 2064 ml to meet 30ml/kg). Pt received 2 liters NS and in the hour after receiving this 2 L the BP did not respond (remained less than 90/map<65). In this scenario I can only use MD documentation of septic shock present, correct??? Thank you!!
Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011
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