Restrictive versus Standard Fluids in Septic Shock

The current standard of care is to provide a bolus of 30 mL per kg of isotonic fluid for patients with septic shock. Recent retrospective studies question this practice. Join host, Geoff Wall, as he reviewed a NEJM article on the role of fluids in septic shock.The GameChangerLarge boluses of fluid during septic shock may have unintended adverse events. Some data show that an approach with restrictive fluids may have no difference in death or adverse outcomes.The COVID-19 pandemic is still ‘a thing’ and the best source of protection are vaccines. The new bivalent booster vaccine provides opportunities to protect ourselves and our communities. If you, your pharmacist or technicians need Immunization Training – check out CEimpact’s VIRTUAL Administration Training.  Use discount code THANKYOU to save 10%.Show Segments00:00 - Introductions01:38 - Background on Septic Shock and Current Treatment04:47 - Meyhoff et al Study15:17 - Gamechanger: Study Findings22:51 - Connecting to Practice23:57 - Closing Remarks HostGeoff Wall, PharmD, BCPS, FCCP, CGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint HealthReferences and ResourcesRestriction of Intravenous Fluid in ICU Patients with Septic ShockRedeem your CPE or CME hereCPE (Pharmacist) CME (Physician)Get a membership & earn CE for GameChangers Podcast episodes (30 mins/episode)Pharmacists: Get a membershipPrescribers: Get a membershipCE InformationLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Critique the Meyhoff et al study evaluating restrictive fluids in septic shock2. Discuss current approaches to fluid resuscitation in patients with septic shock0.05 CEU/0.5 HrUAN: 0107-0000-22-371-H01-PInitial release date: 10/10/2022Expiration date: 10/10/2023Additional CPE and CME details can be found here.Follow CEimpact on Social Media:LinkedInInstagram