Ok, simple question...so, to clarify.....we give fluid when the patient screens 
positive for severe sepsis?  Or we specifically wait to give fluids when the 
patient is hypotensive and/or lactate greater than 4 - which is septic shock 
already.  Just want to make sure I'm teaching this correctly because I'm 
constantly asked in the ER.  The guidelines say when the patient is hypotensive 
and/or lactate greater than 4.

Thank you,
Debbie

Debbie Chambless, MSN, RN, ARNP-C
Sepsis Coordinator
Osceola Regional Medical Center
Kissimmee, Fl 34741
Office: 407-518-3949
Cell: 772-807-0525

~~Recognizing sepsis as a global enemy.  Hoping for global unity in finding a 
solution~~

[cid:[email protected]]

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