We also need a source, or at least suspected source though…… From: Sepsisgroups [mailto:[email protected]] On Behalf Of Gibbs, Katie Sent: Tuesday, March 21, 2017 10:46 AM To: 'Davis, Diana' <[email protected]>; '[email protected]' <[email protected]> Subject: Re: [Sepsis Groups] Septic shock question
Note, THIS IS AN EXTERNAL EMAIL. It did not originate at Hackensack Meridian Health Network. ________________________________ Yes pt is considered septic shock for lactate greater than 4. One thing on the fluids/weight…Something I have learned is that my triage in the ED the nurse’s enter the weight, so this is the weight that shows up for the ED docs to get there 30cc/kg bolus amount from. The weight is often significantly different later in the visit, especially the discharge weight, so I am always sure to check the initial documented weight and use it for my fluid calculation. It has helped my compliance with this measure several times. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Davis, Diana Sent: Monday, March 20, 2017 1:59 PM To: '[email protected]' Subject: [Sepsis Groups] Septic shock question 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 Disclaimer The information transmitted via this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or proprietary information. Any use, review, retransmission, dissemination or other use of, or pursuing of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited. If you are the recipient of this e-mail transmission in error, please reply to the sender and delete the material from any computer. Thank you.
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