Agree, yes UNLESS physician documents that Lactate due to other cause, not due to sepsis.
-----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, March 28, 2017 12:13 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 240, Issue 9 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://webdefence.global.blackspider.com/urlwrap/?q=AXicXcoxCgIxEEbh_xJ2dtbOaixWrSwsVNDGA8gmrnEgyYRMXPB0Xk3YSmzf-zDD5AhMb0AJb2M8aRkodhycpFokkJOIwVxP-_OlXa7Wi3YD23Gyhe--t7qrLroRPWvN26YJrFVJ-6ysvsgrK0nxY-b0EHKem987_6cAPgfgC-T4NE8&Z or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Septic shock question (Nielsenshultz, Yara) ---------------------------------------------------------------------- Message: 1 Date: Tue, 21 Mar 2017 21:50:21 +0000 From: "Nielsenshultz, Yara" <[email protected]> To: "Davis, Diana" <[email protected]>, "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] Septic shock question Message-ID: <dm5pr04mb046148666ee4009d449b20b2f7...@dm5pr04mb0461.namprd04.prod.outlook.com> Content-Type: text/plain; charset="utf-8" I would say yes. A lactate >/= 4 is automatically septic shock (as long as the patient also meets criteria for severe sepsis, which it looks like they do). YARA NIELSENSHULTZ, RN, BSN, MS Clinical Quality Manager EmCare, North Division Direct: (215) 442-5122 Fax: (215) 957-2875 www.EmCare.com<http://www.emcare.com/> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Davis, Diana Sent: Monday, March 20, 2017 1:59 PM To: '[email protected]' <[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. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://webdefence.global.blackspider.com/urlwrap/?q=AXicZcwxCsIwFIDhdwk3N2eTNBWqTg4OKujiASRN0zSQNOG9Z8HTeTXRqeD8f_ywgsUZYPkAwPjS2gvCSSQTos0jY47C5gSTvl-O11tT1VvV7KA1YWwxdN61dGCb7A8NzGUvZQzEJMgVCuQxPwuJjF6WUBx-v3Ke1n_OMBs7JDcySa2qRtW6krveqH7TmVkVA6cIAO8TwAchYkLM&Z> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://webdefence.global.blackspider.com/urlwrap/?q=AXicXcoxCgIxEEbh_xJ2dtbOaixWrSwsVNDGA8gmrnEgyYRMXPB0Xk3YSmzf-zDD5AhMb0AJb2M8aRkodhycpFokkJOIwVxP-_OlXa7Wi3YD23Gyhe--t7qrLroRPWvN26YJrFVJ-6ysvsgrK0nxY-b0EHKem987_6cAPgfgC-T4NE8&Z ------------------------------ End of Sepsisgroups Digest, Vol 240, Issue 9 ******************************************** CONFIDENTIALITY NOTICE This message and any included attachments are from the Tri-City Healthcare District and are intended only for the addressee. The information contained in this message is confidential and may constitute non-public information under international, federal, or state securities laws and is intended only for the use of the addressee. Unauthorized forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
