Some confusion has been noted by my providers regarding whether or not the 30cc/kg fluid bolus should be given if the repeat lactate level returns greater than 4 within the 6 hour window, in the absence of hypotension <90.
Should the bolus be given based on the repeat lactate level if it is greater than 4.0 and the patient has not become hypotensive? The specs state the follow up tissue perfusion assessment is to be completed if the initial lactate is greater than 4.0, it does not give any regard to the follow-up lactate level. Lindsay DeCoster, RN | Quality Assurance Coordinator Sepsis Quality Measures Mercy Health Muskegon, MI Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.
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