Sepsis and Acute respiratory failure - calculated versus ABG P/F ratios

UHC (our favorite insurance company) is now stating that we cannot use calculated P/F ratios for Acute respiratory failure or Sepsis diagnoses but need to do an ABG on these patients. Anyone else having this issue and found a work around yet? We rarely do ABGs in my hospital system as it does not change management. Using VBGs has been more helpful but is useless for P/F ratios.

  • Janel
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