QA Septic Shock: Difference between revisions

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'''Discussion:'''

* I just entered my first pt into this study, and ran into a bit of a snag. The pt had been transfered to us from another ICU. I was able to find the first low BP, but had to take the first AB from the in and out record. I don't have any copies of MAR or any of the ER charting....so I took the first antibiotic given after the low BP. Had it not been recorded on the I&O record, I wouldn't have had anything else to get info from. So, my question is...is this good enough? Does it actually provide the info that you are looking for? [[User:BDeVlaming|BDeVlaming]] 12:10, 7 October 2009 (CDT)

* Another issue: There are instances where the patient may already be on antibiotics for an infection and then later develops

septic shock anyway. Sometimes a new antibiotic is started and in this case the new antibiotic is the one to use in our tmp file. Occasionally, though, a new antibiotic may not be started. We need to know what to do in these cases.

Putting a start date of an antibiotic that is likely not the right one would not help. I have one patient like this right now. The patient was on two antibiotics for pneumonia, copd exac. Developed septic shock 2 days later. No new antibiotics started yet. I will keep watching to see if new antibiotics are started as this patient likely has a bug that is not covered by the antibiotics he is on. --[[User:LKolesar|LKolesar]] 15:20, 7 October 2009 (CDT)

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 '''Discussion:'''
 * I just entered my first pt into this study, and ran into a bit of a snag.  The pt had been transfered to us from another ICU.  I was able to find the first low BP, but had to take the first AB from the in and out record.  I don't have any copies of MAR or any of the ER charting....so I took the first antibiotic given after the low BP. Had it not been recorded on the I&O record, I wouldn't have had anything else to get info from.  So, my question is...is this good enough?  Does it actually provide the info that you are looking for? [[User:BDeVlaming|BDeVlaming]] 12:10, 7 October 2009 (CDT)
+* Another issue:  There are instances where the patient may already be on antibiotics for an infection and then later develops
+septic shock anyway. Sometimes a new antibiotic is started and in this case the new antibiotic is the one to use in our tmp file.   Occasionally, though,  a new antibiotic may not be started.  We need to know what to do in these cases.
+ Putting a start date of an antibiotic that is likely not the right one would not help. I have one patient like this right now. The patient was on two antibiotics for pneumonia, copd exac.   Developed septic shock 2 days later.  No new antibiotics started yet.  I will keep watching to see if new antibiotics are started as this patient likely has a bug that is not covered by the antibiotics he is on.  --[[User:LKolesar|LKolesar]] 15:20, 7 October 2009 (CDT)