19
Sep
Severe Sepsis Criteria Lactate. Septic shock is low blood pressure due to sepsis that does not improve after fluid replacement. Sepsis Criteria SIRS Source of Infection Suspected or present source of infection. Septic shock is clinical sepsis with persisting BP requiring vasopressors to maintain a MAP 65 mm Hg and a serum lactate level 2 mmolL despite adequate volume resuscitation. Sepsis Guidelines Continued Transfusion only when hemoglobin concentration decreases to less than 7 gdL Mechanical Ventilation using target tidal volume of 6 mLKg predicted body weight.
Maintain plateau pressures less than 30 cm H20 Glucose control. Severe sepsis causes poor organ function or blood flow. With these criteria hospital mortality is 40 1. Since the serum lactate level was decreased to 2 mmolL serum lactate level is a more sensitive marker for septic shock. And 4 dysoxic shock both. Three hundred and thirty-eight patients met inclusion criteria and were divided into a lactate expressor group n 197.
After the initial sepsis care duties have been performed oxygen fluids swabs cultures.
Maintain plateau pressures less than 30 cm H20 Glucose control. Initial Lactate 0-2 Normal 2 If the criteria for sepsis are already met this indicates Severe Sepsis 4 If the criteria for sepsis are already met this could indicate Septic Shock if it does not respond to fluids. Severe sepsis causes poor organ function or blood flow. WBC 12000mm³ 4000mm³ or 10 bands. In fact such a patient would be considered by many definitions Sepsis-3 included to be in septic shock. Sepsis is an inflammatory immune response triggered by an infection.