BP as organ dysfunction

[gail]

My only metric to meet organ dysfunction is one BP less than 90. All others remain above 90... please comment.  Thanks

[Deborah V]

Initial hypotension (one value) counts towards organ dysfunction for severe sepsis and requires 30ml/kg (assuming SIRS criteria met.).  Persistent hypotension in the hour following 30ml/kg (2 consecutive values) counts for septic shock and requires pressors and reevaluation.