According to the  NQF Sep 1 measure Version 5.2a then with  documentation 
of severe sepsis then both the  Bp  and lactate  levels support the reporting 
of septic shock assuming the patient has already  undergone fluid admin at 
30 ml/kg.
 
Sepsis 2 def and sepsis 3 def would require the use of vasopressors in  
addition to the above
 

William  E. Haik, M.D., F.C.C.P., C.D.I.P.
AHIMA Approved ICD-10-CM/PCS  Trainer
Office: _(850)  863-2110_ (tel:(850)%20863-2110) 
Cell: _(850)  803-5854_ (tel:(850)%20803-5854) 
Fax: (850) 864-4438  

 
In a message dated 3/21/2017 2:11:07 P.M. Central Daylight Time,  
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Today's Topics:

1. Septic shock  question (Davis,  Diana)


----------------------------------------------------------------------

Message:  1
Date: Mon, 20 Mar 2017 17:58:40 +0000
From: "Davis, Diana"  <[email protected]>
To:  "'[email protected]'"
<[email protected]>
Subject: [Sepsis Groups] Septic  shock question
Message-ID:
<BN6PR13MB0947C73172D6
[email protected]>

Content-Type: text/plain; charset="utf-8"

Septic  shock

To everyone:

Hoping to get  some clarification re: potential septic shock pt.

1207-  B/P-  84/57 P- 135.

Lactate at 1430- 4.8-  lactate  at 1810- 4.3

WBC- 0.1 at 1621

Pt. weight- 73.28 Kg- pt received 1500cc NS - will fallout for  this

No source identified

Will this  patient meet septic shock due to lactate level?

We cannot  come to conclusion 100%- so looking for help from everyone. I 
say  yes.

Thank you.

Diana Davis, Quality  Outcomes Coordinator

CMH Regional Health  System

937-382-9315


Diana Davis, Quality  Outcomes Coordinator
CMH Regional Health  System
937-382-9315

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