Is anyone having issues with patients who have persistent hypotension after fluids defined as SBP < 90, but they still have a MAP of > or equal to 65 and no vasopressors being ordered? My facility's vasopressor orders read to initiate when the MAP is < 65. We have had two patients who did not meet that criteria until after the 6 hour window was up for vasopressors.
Are other facility's changing their practice to start pressors for SBP < 90? Thanks. Tara R Miller, RN Team Leader, Quality Management Mobile Infirmary Medical Center Office: 435-5109 Cell: 605-8270 [IH_Logo_20170609] Confidentiality Notice: This electronic message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this electronic message and/or any attachments is strictly prohibited. This quality assurance document is for the use of Infirmary Health and is prepared and maintained pursuant to Section 22-21-8 of the 1975 Code of Alabama. Prepared in an anticipation of litigation.
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