We use BP < 90 and/or mean < 65. It doesn't have to be both. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management 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
From: Sepsisgroups [mailto:[email protected]] On Behalf Of Tara Miller Sent: Thursday, April 19, 2018 7:39 AM To: '[email protected]' <[email protected]> Subject: [External] [Sepsis Groups] Vasopressor administration ________________________________ Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender. ________________________________ Is anyone having issues with patients who have persistent hypotension after fluids defined as SBP < 90, but they still have a MAP of > or equal to 65 and no vasopressors being ordered? My facility's vasopressor orders read to initiate when the MAP is < 65. We have had two patients who did not meet that criteria until after the 6 hour window was up for vasopressors. Are other facility's changing their practice to start pressors for SBP < 90? Thanks. Tara R Miller, RN Team Leader, Quality Management Mobile Infirmary Medical Center Office: 435-5109 Cell: 605-8270 [IH_Logo_20170609] Confidentiality Notice: This electronic message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this electronic message and/or any attachments is strictly prohibited. This quality assurance document is for the use of Infirmary Health and is prepared and maintained pursuant to Section 22-21-8 of the 1975 Code of Alabama. Prepared in an anticipation of litigation.
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