Fluid Management

Question 1

how is a septic patient managed?

Answer 1

in septic ppl, tight junctions btw the capillary endothelial cells break down and vascular permeability increases. As a result, increasing hydrostatic pressures and reducing oncotic pressure lead to fluid leaving the vasculature and entering the tissue.

u MUST give large volumes of IV fluids to maintain the intra-vascular volume, even though the total body water may be high.
Close monitoring of the fluid balance will be required