But yes, the septic shock criteria references the lactate you identify as “initial lactate” in the measure. If the initial lactate is >4, you would say yes to septic shock. The one you reference in question 20 “Initial lactate level result”.
From: Sepsisgroups [mailto:[email protected]] On Behalf Of Cynthia Wells Sent: Wednesday, April 05, 2017 8:47 AM To: Mary Draper Cc: [email protected] Subject: [EXTERNAL] Re: [Sepsis Groups] Initial lactate vs repeat lactate result It depends on which lactate is "drawn" closer to time zero. The lactate used to establish time zero is not always the "initial lactate" data element. Cindy Sent from my iPhone On Apr 4, 2017, at 6:20 PM, Mary Draper <[email protected]<mailto:[email protected]>> wrote: 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]> <image003.png> “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 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_listinfo.cgi_sepsisgroups-2Dsepsisgroups.org&d=DwMGaQ&c=qqcbk_QeabW4Z7GBhIMNtn_B7aQjktEuWNmUvrzri9o&r=9XT3K_nIvIIF-7Bh2TiB0g&m=FrwD7fyMhlYlk_RLKMTa8VwA2VYzO9IuMtLbVEujRsE&s=-ZUewpQ_DPdQdWFL--Xu2TS2nIAiPzcUnQpZdkkbgBM&e=>
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