Abnormal lab values that are not treated

Would you query for lactic acidosis with the following scenario.
Lactic acid noted on ABG of 4.1 and 2.8 - no repeat levels drawn.  No treatment was given, no IV fluids ordered or administered.  No repeat labwork ordered to see if patient's level normalized. Pt was admitted with COPD exacerbation on chronic steroids. Pt was placed on 1L NC O2 for less than 4 hours. 

Thanks
Debby

Comments

  • Was the patient clinically acidotic, or was this only an elevation of lactic acid?  If there is compensation without acidosis, this is not truly acidosis.
  • in patients with DM ulcers and PVD in order to link the ulcer to the PVD we would need to query the provider regarding a relationship between DM and PVD please advise
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