Bands are more sensitive for Peds, where elevated lactate may be a late finding 
Melissa

On Apr 24, 2013, at 11:25 AM, Sara Valentine <[email protected]> wrote:

> The SSC recommends lactic acid be drawn within 3 hours, and to re-measure the 
> lactic acid until it is normalized. Numerous studies have found the 
> relationship between elevated lactic acid and higher mortality rates, as 
> well. Bands are an important marker for SIRS, but don’t have much to do with 
> hypoperfusion related to an infection, just confirming an actual infection. 
> In our ED, and also on our acute care units during a Rapid Response, we use 
> the I-STAT machine to draw a lactic acid with a venous sample, the results 
> come back within minutes.
>  
>  
> Sara Valentine, BSN, RN, CNRN
> Clinical Sepsis Coordinator
> Medical Center Hospital
> ph: 432.640.2198
>  
> From: [email protected] 
> [mailto:[email protected]] On Behalf Of Katzaman, 
> Alecia
> Sent: Tuesday, April 23, 2013 6:48 AM
> To: '[email protected]'
> Subject: [Sepsis Groups] Lactic acid, Bands, and PCT
>  
> Who uses what? What comes back faster? What have you found the most reliable 
> indicator for your patients, more specifically those in the ED.
>  
> Alecia Fick, MSN, RN
> Emergency Department Quality Improvement Coordinator
>  
> <image001.jpg>
>              P.O. Box 16052
>              Reading, PA 19612-6052
>  
> [email protected]
> www.readinghealth.org
> PHONE: 484-628-4810
>  
> Advancing Health. Transforming Lives.
>  
>  
> 
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