Our reflex is 4 hours. I think you should give the body time to correct the 
lactate and see if your antibiotics and fluid are working as they should.
Amy

Amy L. Sprague DNP, RN, ACNS-BC, CCRN
Patient Safety Manager
Richard L. Roudebush VA Medical Center
1481 West 10th Street
Indianapolis, IN 46202
Office 317-988-3547

"Our lives begin to end the day we become silent about things that matter."
Martin Luther King, Jr.







From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Thursday, February 02, 2017 10:46 AM
To: [email protected]; [email protected]
Cc: [email protected]
Subject: [EXTERNAL] Re: [Sepsis Groups] repeat lactate levels

Lori, we have the reflex order here set for 2 hours post the initial lactate 
level. It has been working well for us. I know originally some wanted to push 
the reflex back to 4 hours, but I am worried that if we do that we might 
experience a delay that leads to a fallout.

Maggie Macias, RN
Sepsis Program Coordinator
Valley Regional Medical Center
Brownsville, TX
(956) 350-7179 (O)
[email protected]<mailto:[email protected]>


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Bly, Lori
Sent: Friday, January 27, 2017 10:51 AM
To: 
[email protected]<mailto:[email protected]>
Cc: Verdi, Rachel C. <[email protected]<mailto:[email protected]>>
Subject: [EXTERNAL] [Sepsis Groups] repeat lactate levels

At our facility we are considering placing a reflex order on initial lactate 
levels >2.0.   Has anyone else initiated this and how is it working?  Thank you

Lori Bly, RN
Quality Management Department
ACMH Hospital
One Nolte Drive
Kittanning, PA 16201
Extension: 8459

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