I would suggest that the any hypotension in the face of sepsis can be considered organ failure - so 1 BP to define severe sepsis 2 BPs are needed to define septic shock
Thanks, MARY ANN BARNES-DALY MS RN CCRN DC | Clinical Performance Improvement Consultant Quality & Clinical Effectiveness Team | Office of Patient Experience Sutter Health -2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| [email protected]<mailto:[email protected]> All changes, even the most longed for, have their melancholy; for what we leave behind us is a part of ourselves. Anatole France [https://newsplus.sutterhealth.org/peninsula-coastal/files/2017/04/SH_Pride_Plus400-002-177x177.gif] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Duane, Molly Sent: Thursday, March 01, 2018 8:30 AM To: '[email protected]' <[email protected]> Subject: [**External**] [Sepsis Groups] Sepsis Listserve question WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Good Morning, I was wondering if anyone could explain the difference between 'Initial Hypotension' (that requires documentation of two BP's) and 'Hypotension as evidence of organ dysfunction' that only requires one BP reading. If the hypotension is used as organ dysfunction criteria for Severe Sepsis and it is the initial hypotension, why aren't two BP's required? I listened to the webinar yesterday on v5.3a updates for 2018 and still don't understand. (They are on slides 30 and 34 from the presentation). Thanks, Molly Molly Duane RN, BSN, CCRN Sepsis Program Coordinator Detroit Receiving Hospital Harper-Hutzel Hospital Mobile: 248-709-6218 DRH: 313-966-8087 HUH: 313-745-4340 Email: [email protected]<mailto:[email protected]> This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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