Is there a source of infection documented? Or documentation of severe sepsis or septic shock? If not, then I disagree.
From: Sepsisgroups [mailto:[email protected]] On Behalf Of Nielsenshultz, Yara Sent: Tuesday, March 21, 2017 5:50 PM To: Davis, Diana; '[email protected]' Subject: Re: [Sepsis Groups] Septic shock question 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]<mailto:[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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