QA Septic Shock: Difference between revisions

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===Discussion===

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

** 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)

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}}
 ===Discussion===
-** Another issue:  There are instances where the patient may already be on antibiotics for an infection and then later develops
+** 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)
-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)