No. Initial lactate is the one that counts.

On Feb 3, 2017, at 12:16 PM, Haywood, Pamela 
<[email protected]<mailto:[email protected]>> wrote:


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OR is it septic shock only if lactic acid is still at >= 4 AFTER appropriate 
30ml/kg IVF given?



Pamela J Haywood, BSN, RN

Clinical Documentation Specialist

Jones Memorial Hospital

191 N Main St

Wellsville, NY 14895

585-593-1100 ext 5209

________________________________
From: Sepsisgroups 
[[email protected]<mailto:[email protected]>]
 on behalf of 
[email protected]<mailto:[email protected]> 
[[email protected]<mailto:[email protected]>]
Sent: Wednesday, February 01, 2017 9:13
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] question

Hello group,

I am being told by our quality department that if a patient is documented with 
severe sepsis and has a lactic acid greater than 4 that it is automatically 
coded as septic shock even though it’s not documented. Is this true?

Thanks,
Debbie Chambless
Sepsis Coordinator
Osceola Regional Medical Center
Kissimmee, Fl 34371
407-518-3949
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