Septic Shock: Difference between revisions
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*'''Mar 30''' Lactate increased from 2.3 in the am to 6.5 at 2010. | *'''Mar 30''' Lactate increased from 2.3 in the am to 6.5 at 2010. | ||
**CT abd at 2135 showed nothing definitive but ischemic colitis not ruled out. | **CT abd at 2135 showed nothing definitive but ischemic colitis not ruled out. | ||
**'''2115 hrs first systolic BP''' | **'''''2115 hrs first systolic BP less that 90''''', '''started on neo'''. | ||
**T-36.4 HR 133 RR 34 WBC 10.6 INR increased to 1.9 Urine output adequate. ABG at 2210 7.20 CO2 47 PO2 77 Still query ischemic gut. | **T-36.4 HR 133 RR 34 WBC 10.6 INR increased to 1.9 Urine output adequate. ABG at 2210 7.20 CO2 47 PO2 77 Still query ischemic gut. | ||
*'''Mar 31''' By 0805 Neo stopped and levo started. Temp 37 RR controlled at 20 **HR 100 WBC 1.8 Lactate 4.5 ABG 7.22 CO2 56 O2 74 Anuric Accucheck 2.1 **Pip taz ordered at 0810 and given at 0815. | *'''Mar 31''' By 0805 Neo stopped and levo started. Temp 37 RR controlled at 20 **HR 100 WBC 1.8 Lactate 4.5 ABG 7.22 CO2 56 O2 74 Anuric Accucheck 2.1 **Pip taz ordered at 0810 and given at 0815. | ||