It's the first choice. You don't need to give 30 ml/kg before obtaining lactate if 4 to define shock.
On Oct 24, 2015, at 8:00 AM, "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> wrote: Ok, listserve friends….there is an ongoing debate here. Is Septic Shock defined as hypotension in spite of fluid resuscitation OR lactate greater than 4? Or is septic shock defined as hypotension in spite of fluid resuscitation or lactate greater than 4 after fluid resuscitation? Our intensivists are saying septic shock is only septic shock if they are on vasopressors or the patient’s lactic acid remains greater than 4 after fluid resuscitation. Thank you, Debbie Debbie Chambless, MSN, RN, ARNP-C Sepsis Coordinator Osceola Regional Medical Center Kissimmee, Fl 34741 Office: 407-518-3949 Cell: 772-807-0525 ~~Recognizing sepsis as a global enemy. Hoping for global unity in finding a solution~~ [cid:[email protected]] _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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