Michael R. Broyles, PharmD – Director of Pharmacy and Lab Services
Generalized non-specific complaints of pain, new onset mild mental confusion. Patient was a poor historian.
Pain in neck, shoulder, upper back, lower back, foot, and other multiple diffuse arthralgias
Significant medical history:
Recurrent urinary tract infections, hypertension, migraines, depression, generalized anxiety, fibromyalgia, osteoporosis
Lactate is a marker of anaerobic metabolism and has a low sensitivity and specificity for bacterial infection. It should not guide antibiotic therapy. If lactate is elevated with a bacterial infection, the patient is likely septic or in septic shock. Lactate provides information about perfusion not bacterial infection. PCT provides information about bacterial infection, not perfusion.
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