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<p class="MsoNormal"><span style="color:#1F497D">We use BP < 90 and/or mean < 65. It doesn’t have to be both.
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Mary Draper RN BSN<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Coordinator Quality Improvement<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Peer Review Support CV/CT<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">JMH
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Office (925) 674-2045</span><span style="color:#44546A"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Cell (925) 451-8792</span><span style="color:#44546A"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A">Fax (925) 674-2373</span><span style="color:#44546A"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A"><a href="mailto:mary.draper@johnmuirhealth.com"><span style="color:#44546A">mary.draper@johnmuirhealth.com</span></a><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:9.0pt;color:#1F497D">“O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;color:#1F497D"> For then we will always strive for greater things and will not be content with merely climbing hills.” Ardath Rodale<o:p></o:p></span></p>
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<p class="MsoNormal"><b>From:</b> Sepsisgroups [mailto:sepsisgroups-bounces@lists.sepsisgroups.org]
<b>On Behalf Of </b>Tara Miller<br>
<b>Sent:</b> Thursday, April 19, 2018 7:39 AM<br>
<b>To:</b> 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org><br>
<b>Subject:</b> [External] [Sepsis Groups] Vasopressor administration<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:red">Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif">
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<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif">Is anyone having issues with patients who have persistent hypotension after fluids defined as SBP < 90, but they still have a MAP of > or equal to 65 and no vasopressors being ordered?
My facility’s vasopressor orders read to initiate when the MAP is < 65. We have had two patients who did not meet that criteria until after the 6 hour window was up for vasopressors.
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<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif">Are other facility’s changing their practice to start pressors for SBP < 90?
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<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif">Thanks.
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<p class="MsoNormal"><span style="font-family:"Lucida Sans Unicode",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Lucida Sans Unicode",sans-serif">Tara R Miller, RN
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Lucida Sans Unicode",sans-serif">Team Leader, Quality Management<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Lucida Sans Unicode",sans-serif">Mobile Infirmary Medical Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Lucida Sans Unicode",sans-serif">Office: 435-5109<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Lucida Sans Unicode",sans-serif">Cell: 605-8270<o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-family:"Aparajita",sans-serif">Confidentiality Notice: This electronic message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information.
Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this electronic message and/or
any attachments is strictly prohibited. This quality assurance document is for the use of Infirmary Health and is prepared and maintained pursuant to Section 22-21-8 of the 1975 Code of Alabama. Prepared in an anticipation of litigation.<o:p></o:p></span></i></p>
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