[text name="variable_1" default="sample text"] 3 HOUR INITIAL RESUSCITATION BUNDLE: Sepsis Risk Protocol GV#1277 for the following orders: a. Notify provider b. Stat labs: Lactic Acid, CMP, CBCM, PT INR if not done in past 6 hours c. Obtain blood cultures x 2 d. Obtain UA e. Broad spectrum antibiotic for administration within 3 hours of presentation if not already given in the prior 3 hours. f. For hypotension (SBP less than 90 mmHg) OR initial lactic acid level greater than or equal to 2mmol-kg, order 0.9% Sodium Chloride bolus (a total of 30mL-kg) for administration within 3 hours. g. Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings _________________________________________________________________________ 6 HOUR SEPTIC SHOCK BUNDLE (Sepsis-induced hypotension OR lactic acid greater than 4mmol-kg) a. Vasopressor for hypotension that does not respond to the fluid bolus to maintain MAP greater than or equal to 65mmHg for administration within 6 hours of presentation of shock b. Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings c. Repeat lactic acid level within 4 hours of initial lactate if greater than or equal to 2mmol-kg
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