Question

A 70-year-old with atrial fibrillation is admitted with pneumonia and sepsis. Initial fluid resuscitation is completed. Lactate remains 3.2 mmol/L. Which monitoring approach is recommended to guide further fluids?

Accepted Answer

Use dynamic measures (e.g., PLR, stroke volume variation)

Answer

Static CVP target of 12-15 mm Hg

Answer

No further assessment; give fixed 2 L

Answer

Rely on urine sodium

Answer

ABG only

Practice question

A 70-year-old with atrial fibrillation is admitted with pneumonia and sepsis. Initial fluid resuscitation is completed. Lactate remains 3.2 mmol/L. Which monitoring approach is recommended to guide further fluids?