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| == Additional Info == | | == Additional Info == |
| {{ICD10 Guideline Sepsis}} | | {{ICD10 Guideline Sepsis}} |
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| ===Criteria for the SHOCK in Septic Shock===
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| *Persisting hypotension requiring vasopressors to maintain MAP>65mmHg ''AND'' serum lactate>2 mmol/L -- both despite adequate volume resuscitation.
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| *The CAUSE is proven infection OR '''presumed''' infection -- thus positive cultures are not required.
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| *So, for example, if someone has another obvious cause of shock (e.g. massive hemorrhage) and ''also'' has infection, that does not mean it is combined hemorrhagic and septic shock. Basically, septic shock '''should not be called''' if there '''is another obvious cause for shock'''.
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| *Also recognize that not all vasodilatory (aka distributive) shock is due to infection. When it is due to infection then use THIS code, when it's not due to infection, then use one of the other appropriate codes, such as: '''[[Anaphylactic reaction (anaphylaxis)]]''', or '''[[Shock, NOS]]'''
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| == Alternate ICD10s to consider coding instead or in addition == | | == Alternate ICD10s to consider coding instead or in addition == |