I disagree as well due to a lack of a source of infection with the elevated lactate or documentation of severe sepsis/septic shock.
Andrea Crittenden RN| Quality Improvement Specialist | Providence Health & Services, Southwest Washington | Office: 360.486.6465 | Quality Services MS:04H17 413 Lilly Rd NE Olympia, WA 98506-5166 | [email protected]<mailto:[email protected]> [cid:[email protected]] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Schrecengost, Lisa M. Sent: Tuesday, March 28, 2017 8:33 AM To: Nielsenshultz, Yara <[email protected]>; Davis, Diana <[email protected]>; '[email protected]' <[email protected]> Subject: Re: [Sepsis Groups] Septic shock question 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<https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.emcare.com%2F&data=01%7C01%7CAndrea.Crittenden%40providence.org%7C0b4f4e7ec4f547728f3c08d47ba8eac3%7C2e3190869a2646a3865f615bed576786%7C1&sdata=1WhTjNmlNRtyvm63u7DHTPM%2FD5VaEIQSZjbFvG67eWQ%3D&reserved=0> 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. ________________________________ This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.
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