ICU SAQs · Renal / fluids
Fluid overload after a septic-shock resuscitation — management
A CICM SAQ on the fluid overload — the de-resuscitation phase (the stop the fluids, the furosemide per the CLASSIC, the RRT for the oliguric), the fluid-responsiveness concept, and the fluid stewardship (the 4 Ds).
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Prompt
A 60-year-old is now 48 hours into the recovery from a septic shock. The cumulative fluid balance is plus 8 L. The per cent fluid overload is 12 per cent. The patient is now off the vasopressors, the urine output is 20 mL/h. Outline the fluid management.
Question
A 60-year-old is now 48 hours into the recovery from a septic shock. The cumulative fluid balance is plus 8 L. The per cent fluid overload is 12 per cent. The patient is now off the vasopressors, the urine output is 20 mL/h. Outline the fluid management.[1]
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- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.