Our Lactate  order is Stat and then q 3 hours times 2 no matter what the 
initial lactate level is. We have found (with the help of Wolters Kluwer Health 
and the Point of Care Advisor) that about 5% (4.7%) of our patients with an 
initial lactate less than 2 go on to develop septic SHOCK. 
----- Original Message -----

From: "Mancuso Teresa" <teresa.manc...@hcahealthcare.com> 
To: "Laura Soares" <lsoa...@sierra-view.com>, 
"sepsisgroups@lists.sepsisgroups.org" <sepsisgroups@lists.sepsisgroups.org> 
Sent: Thursday, June 13, 2019 2:45:21 PM 
Subject: Re: [Sepsis Groups] lactic acid reflex time 
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System. DO NOT CLICK links or attachments unless you recognize the sender and 
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Our elevated lactate reflexes at four hours, but I educate on re-drawing after 
two hours.  
  
From: Sepsisgroups <sepsisgroups-boun...@lists.sepsisgroups.org> On Behalf Of 
Laura Soares 
Sent: Thursday, June 06, 2019 4:50 PM 
To: 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org> 
Subject: {EXTERNAL} [Sepsis Groups] lactic acid reflex time 
  
Good afternoon, 
  
Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs. 
  
I’m wondering what others’ practices are when reflexing the lactic acid – do 
you use a 2 hr timeframe, or 3 hr, or? 
  
Thanks so much! 
  
Laura Soares MSN RN SCRN 
Sepsis & Stroke Program Coordinator 
559.788.6067 Office 
559.280.2036 Cell 
  
"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie 
  
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465 W. Putnam Ave 
Porterville, CA  93257 
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