Maybe I didn't ask my question right..... We are following the protocol for the whole blood lactic acid levels----but our physicians and nurses on our team are inquiring regarding the difference in reference ranges for the istat CG4+ lactic acid levels and whether other organizations have adapted protocol differences for the istat level versus the whole blood levels to account for the difference in reference ranges.
from my iPhone On Sep 18, 2013, at 2:24 PM, "Jamie Roney" <[email protected]<mailto:[email protected]>> wrote: That level is not a new level. Elevated is > 2.0 mmol/L; however, > 4.0 has remained a number that triggers treatment. It is built into our protocols and is considered the “critical” alert value triggering physician notification. Jamie Jamie Roney, BSN, RN-BC, BSHCM, CCRN covenant health sepsis coordinator "Be a yardstick of quality. Some people aren't used to an environment where excellence is expected." ~Steve Jobs 3615 19th Street, Lubbock, TX 79410 T: (806) 725-4689 C: (806) 773-1914 www.covenanthealth.org<http://www.covenanthealth.org/> ………………………………………………………………………….. <image008.png><image009.jpg><http://www.facebook.com/CovenantHealth> <image010.jpg><http://twitter.com/#!/@covhs> <image011.jpg><http://www.everymomentmatters.org/> From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Theresa Trivette Sent: Tuesday, September 17, 2013 5:32 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Lactic Acid Severe sepsis in the revised guidelines is 4mmol/L. Has anyone developed protocol levels for istat or venous blood gas results as an equivalent? Thanks. NOTE: The information contained in this message may be privileged, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting it from your computer. Thank you. ________________________________ Notice from St. Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure. NOTE: The information contained in this message may be privileged, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting it from your computer. Thank you.
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