Thanks for sending the additional notes, David!

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[email protected]>
[cid:[email protected]]

"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills."     Ardath Rodale


From: Rivera, David [mailto:[email protected]]
Sent: Monday, September 26, 2016 4:51 AM
To: Mary Draper <[email protected]>; 'Brown, Linda' 
<[email protected]>; [email protected]
Subject: RE: initial hypotension

The Addl note for V5.1 expand on this initial hypotension question. See 
attached :)

Regards
David Rivera
Quality Coordinator
Quality Management Department | Adventist Health System | Email: 
[email protected]<mailto:[email protected]>
[cid:[email protected]]
CONFIDENTIALITY NOTICE: This communication, including any attachments, may 
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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Mary Draper
Sent: Monday, September 19, 2016 12:26 PM
To: 'Brown, Linda' <[email protected]<mailto:[email protected]>>; 
[email protected]<mailto:[email protected]>
Subject: Re: [Sepsis Groups] initial hypotension

For the patient to have septic shock, if the lactate isn't ≥ 4 or the MD 
doesn't document septic shock, the patient requires consecutive BPs < 90 (at 
least 2) after fluid resuscitation of 30ml/kg.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[email protected]>
[cid:[email protected]]

"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills."     Ardath Rodale


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Brown, Linda
Sent: Thursday, September 15, 2016 12:25 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [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


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