You need 2 blood pressures. This is from CMS. Question 18: If you have severe sepsis, when would septic shock be present with an initial SBP less than 90 or when there is persistent hypotension SBP less than 90 after fluid resuscitation? In order to have septic shock based upon a SBP less than 90 mmHg, severe sepsis must be present and there must be two or more consecutive blood pressure readings less than 90 mmHg in the hour after the conclusion of the 30 mL/kg of Crystalloid Fluid Administration.
Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center 484-476-8092 Pager: 5240 [cid:[email protected]] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Brown, Linda Sent: Thursday, September 15, 2016 3:25 PM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] initial hypotension If the patient only has one BP <90 or MAP <65 and meets the rest of the severe sepsis criteria, does this meet the criteria for septic shock or does the patient need to have consecutive BP's <90 or MAP <65. Thank you Linda Brown BSN RN Performance Improvement Nebraska Methodist Hospital Omaha, Ne 402-354-4006 This message and any included attachments are from Nebraska Methodist Health System and its affiliates and are intended only for the addressee. The message may contain privileged, confidential and/or proprietary information intended only for the person(s) named. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Nebraska Methodist Health System and its affiliates in Omaha, Nebraska, U.S.A at (402)354-2280.
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