Philips IntelliVue MP5 - Changing Conditions; Two Or More Infection Signs Or Symptoms Confirmed; Lactate Measurement

21 ProtocolWatch Severe Sepsis Screening
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Changing Conditions
The window reappears if:
• a previously fulfilled criteria is again fulfilled
• a new HR or RR criteria is fulfilled,
• the HR or RR value which previously fulfilled the criteria now triggers a **High alarm or a ***
Tachy alarm,
• after 8 hours (configurable to 12 hours) if at least one infection sign is still present.
Two Or More Infection Signs Or Symptoms Confirmed
If you have confirmed two or more infection signs in the first Severe Sepsis Screening window, a new
pop-up window appears:
If you select Yes, the next screen appears requesting a lactate measurement.
If you select No, the screening phase continues and the first Severe Sepsis Screening window reappears
in the situations described in Changing Conditions above.
Lactate Measurement
To enter the Lactate value, select the Enter Lact key. If the value entered is > 4 mmol/l the check
box is automatically checked.
Select Confirm when a value has been entered. What follows depends on the Lactate value:
•If Lactate is > 4 mmol/l: the value meets the criteria for severe sepsis and a window appears
recommending authorized clinician review before entering the Sepsis Resuscitation Bundle.
•If Lactate is  4 mmol/l: a further window appears requiring your input to determine on the basis of
blood pressure values whether the patient meets the criteria for severe sepsis.
Show
Details
Yes
ProtocolWatch-Severe Sepsis Screening
No
ProtocolWatch
Is the patient history suggestive of a new infection
Inactive
Screening SSC Standby
Protocol
Log
Remind
15 min
ProtocolWatch-Severe Sepsis Screening
SSC Sepsis protocol requires Lactate measurement now.
Lactate>4mmol/l (36mg/dl)?
ProtocolWatch
Enter
Lact
Confirm
Inactive
Screening
SSC Standby
Remind
15 min
Protocol
Log