The Synapse Critical Care & Emergency Medicine Podcast

The Synapse Season 2 Episode 81 - Lactate Elevation After Norepinephrine

Season 2 Episode 81

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Think back to the last sepsis patient you had. Maybe they had an elevated lactate to begin with and were hypotensive. Norepi was started, BP improves, but the serial lactate is even more elevated afterwards. Why is this happening? Is the patient getting worse? Maybe not. Join me in this episode as we explore why Beta-2 activation may actually transiently elevate lactate and what this means for the patient.