Septic Shock: Difference between revisions

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#***Dr. Kumar would like to emphasize to collectors that SEPTIC SHOCK means shock is thought to be DRIVEN BY infection and not just associated with infection.  Example, if someone has another obvious cause of shock with infection (like massive hemorrhage with it), 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.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)     
#***Dr. Kumar would like to emphasize to collectors that SEPTIC SHOCK means shock is thought to be DRIVEN BY infection and not just associated with infection.  Example, if someone has another obvious cause of shock with infection (like massive hemorrhage with it), 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.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)     
#Patient in ER with no measurable BP. Tx with fluids, still no measurable BP.  Difficulty inserting central line, suspected sepsis.  Started on dopamine in ER.  Also given antibiotic for suspected sepsis. '''Question''' is this, if BP unmeasurable or not registering but pt is being treated for septic shock is this the time of the first low BP ?  I spoke to Kendiss this morning-the answer is "yes"-the  unmeasurable BP could be the first low BP for the study if the patient is thought to be is shock due to infection. --[[User:Mlaporte|Mlaporte]] 08:00, 2012 June 4 (CDT)[[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)
#Patient in ER with no measurable BP. Tx with fluids, still no measurable BP.  Difficulty inserting central line, suspected sepsis.  Started on dopamine in ER.  Also given antibiotic for suspected sepsis. '''Question''' is this, if BP unmeasurable or not registering but pt is being treated for septic shock is this the time of the first low BP ?  I spoke to Kendiss this morning-the answer is "yes"-the  unmeasurable BP could be the first low BP for the study if the patient is thought to be is shock due to infection. --[[User:Mlaporte|Mlaporte]] 08:00, 2012 June 4 (CDT)[[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)
#Question about the criteria:  most criteria for septic shock include [[Hypothermia]].
#Question about the criteria:  most criteria for septic shock include [[Hypothermia]].  
#*'''After''' of [[QASeptic]] Project is completed in June or July 2012, we will add hypothermia to septic shock criteria as per Kendiss Olfason. Critical Care QI team agree to add.  [[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)
#*'''After''' of [[QASeptic]] Project is completed in June or July 2012, we will add hypothermia to septic shock criteria as per Kendiss Olfason. Critical Care QI team agree to add.  [[User:TOstryzniuk|Trish Ostryzniuk]] 18:15, 2012 June 11 (CDT)
* Brought this up again at our staff meeting that should hypothermia should be in the criteria for septic shock as discussed in 2012?[[User:GHall|GHall]] 15:53, 2017 March 9 (CST)
#If a patient meets all criteria for septic shock and this was the reason they were accepted to the ICU, however by the time they arrive to the ICU hours later,their vital signs are stable, and their GCS has improved/creatinine has normalized how should this be coded? Would it still be coded as septic shock, or would it simply be coded as infection ie.)cellulitis/cystitis?[[User:Mlagadi|Mlagadi]]
#If a patient meets all criteria for septic shock and this was the reason they were accepted to the ICU, however by the time they arrive to the ICU hours later,their vital signs are stable, and their GCS has improved/creatinine has normalized how should this be coded? Would it still be coded as septic shock, or would it simply be coded as infection ie.)cellulitis/cystitis?[[User:Mlagadi|Mlagadi]]
===NOTE from Dr. Kumar June 6, 2012 ===
===NOTE from Dr. Kumar June 6, 2012 ===