Looking for clarification: In order to meet the CMS "persistence hypotension" definition the patient must have two recorded pressures to reflect hypotension. We have had patients that required vasopressor support even after the 30 mL/kg. It goes without saying that as a critical care nurse you are constantly attempting to wean vasopressor support. Our guidelines for weaning vasopressor support is to keep the MAP >65 and SBP > 90. In addition to the 30ml/kg NS or LR we have additional bolus for CVP/MAP if needed. I do not believe it is wise to allow your septic shock patient to remain hypotensive for the sake of meeting the measure. But it doesn't seem logical to exclude a patient from the septic shock portion of the measure because they continued to require vasopressor support for adequate systemic perfusion. What are you doing at your facility? Rebecca Garner R.N.Sepsis Coordinator Conroe Regional Medical Center
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
