I have a patient that met the SIRS criteria with a possible infection though etiology unknown and had an initial lactate of 2.2. This ruled the patient in for severe sepsis. No hypotension. The repeat lactate 4 hours later is > 4. Patient is still not hypotensive. Does this then qualify the patient for septic shock? I thought we used the "initial" episode's lactate not the repeat result. Appreciate your feedback! Thanks.
Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale
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