A couple questions, Is there any consideration for medicine induced hypotension? For example: I had a patient that fell into my sampling with a sepsis diagnosis. Upon reviewing the chart for s/s of severe sepsis, the patient had a source of infection + 2 SIRS + one SBP<90 directly after A nitroglycerin drip was started. The nitro drip was turned down and the patients BP rebounded without any other interventions. Would this still rule the patient in for severe sepsis? The patient would obviously fall out due to not getting the 30cc/kg bolus. I know that the persistent hypotension now requires 2 low blood pressures, but what about the initial? Does anyone have any info on the Bedside Ultrasound. What kind of ultrasound you are doing? What exactly are the physicians are looking for when they are doing this?
Chelsea (Bibelhauser) Quaack RN,BSN,CCRN Sepsis Coordinator, Critical Care Clark Memorial Hospital Jeffersonville, IN 47130 812-283-2880 This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken based on the contents of these documents is strictly prohibited by law. If you have received this message in error, please notify the Clark Memorial Hospital Privacy Officer at 812.283.2626. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
