Perfectly stated Cindy - nice job Thanks,
MARY ANN BARNES-DALY MS RN CCRN DC | Clinical Performance Improvement Consultant Quality & Clinical Effectiveness Team | Office of Patient Experience Sutter Health -2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] "You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete." ~R. Buckminster Fuller From: Sepsisgroups [mailto:[email protected]] On Behalf Of Cynthia Wells Sent: Friday, September 16, 2016 4:52 PM To: Brown, Linda <[email protected]> Cc: [email protected] Subject: [External] Re: [Sepsis Groups] initial hypotension Hello, The way I interpret: Either the Lactate has to be equal or greater than 4 or there has to be documentation of septic shock or after the patient received sufficient fluids 30ml/kg there has to be two consecutive BP<90 MAP<65 within hour after sufficient fluids. This all needs to occur within 6 hours severe sepsis time. If the patient did not receive sufficient fluid within 6 hours of severe sepsis time you would answer no to septic shock unless the patient met criteria by lactate or documentation.... Cindy Sent from my iPhone On Sep 16, 2016, at 7:37 PM, Brown, Linda <[email protected]<mailto:[email protected]>> wrote: 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. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org<https://na01.safelinks.protection.outlook.com/?url=http%3a%2f%2flists.sepsisgroups.org%2flistinfo.cgi%2fsepsisgroups-sepsisgroups.org&data=01%7c01%7cbarnesm4%40sutterhealth.org%7c8bd2e912b0e7468f7da608d3e3f8a876%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=wLheHNHPDdcnlgaPC61Jx%2bouoDWYlMntnnUSRb6g9yU%3d>
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