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Order Labs

Recommended laboratory studies – use sepsis order set

Blood

POC Glucose

Venous blood gas, Capillary blood gas, Arterial blood gas, Lactate level

Blood culture (obtain before antibiotics are given)

CBC with diff, CRP

Basic Metabolic Panel, LFTs, Amylase, Lipase

INR, PT, PTT, fibrinogen

Type and Screen

Consider random cortisol level*

Urine

UA, urine culture

Consider indwelling urinary catheter if patient is hemodynamically unstable

Urine HCG for girls > 10 years

X-ray

 

Viral Studies as Clinically Indicated

URI Symptoms – consider Viral Respiratory PCR

June – October – consider enteroviral PCR blood, urine, CSF

CSF Studies as Clinically Indicated

 


*Send if risk of adrenal insufficiency

Retrieved from http://www.chop.edu/clinical-pathway/sepsis-severe-recommended-laboratory-studies-clinical-pathway-emergency

 

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.