Sepsis Guideline Compliance
It is my opinion that the patient DOES in fact have a likely infectious etiology for meeting Sepsis Criteria.
Upon meeting sepsis criteria resuscitation according to Best Practice Statements and in accordance with this patient’s safety was initiated
Fluids: 30 mL/kg of IV crystalloid fluid ordered to be given within the first 1 hour of meeting sepsis criteria.
Antibiotics: IV antimicrobials be initiated as soon as possible after recognition and within one hour for both sepsis and septic shock

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Sepsis No fluids
It is my opinion that the patient DOES in fact have a likely infectious etiology for meeting Sepsis Criteria.
Upon meeting sepsis criteria resuscitation according to Best Practice Statements and in accordance with this patient’s safety was initiated
Fluids: Defer 30ml/kg crystalloid infusion given hemodynamic assessment coupled with patient medical risk factors
Antibiotics: IV antimicrobials be initiated as soon as possible after recognition and within one hour for both sepsis and septic shock

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Sepsis Criteria WITHOUT Sepsis
It is my opinion that the patient DOES NOT have a likely infectious etiology for meeting Sepsis Criteria.
Defer Fluid and IV antimicrobials per Sepsis Best Practice Statements given more likely etiology for presentation and findings consistent with sepsis markers.

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Undifferentiated Hypotension

• No chest pain, opiate use, shortness of breath or significant hypoxia, head/neck/back trauma, history of heart failure or cardiomyopathy.
  Unlikely aortic dissection, MI induced, opiate induced, massive pulmonary embolism, neurogenic shock, cardiogenic shock.
• No recent melena, BRBPR, hematemesis, emesis, PO intolerance. No fever, cough, dysuria
  Unlikely hypovolemia, septic shock.
• Workup: CBC, CMP, PT/INR, Lactate, Type and Screen, BNP.
  Interventions: Fluid resuscitation.