There are many more reasons than just hypoperfusion and anaerobic metabolism to explain the lactatemia in sepsis. It follows that there are many more considerations other than buckets of fluid when looking to lower the lactate.
Author Archives: Yamema Esber
(Not) Managing Asymptomatic Hypertension
Severe asymptomatic hypertension (BP > 180/110mmHg) in hospitalised patient is often mistakenly perceived as a call to antihypertensive action. Treat reversible causes, and consider a watch-and-wait approach. However, exceptions and caveats apply.