Fluid Administration in Septic Shock
CEimpact Podcast
English - March 13, 2023 09:00 - 35 minutes - 24.1 MBCourses Education Science ceimpact podcast precept2practice level up gamechangers pharmacy cme cpe pharmacology ceimpact geoff wall Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
For the past two decades, large amounts of isotonic fluids have been the first step in treating septic shock despite adverse events of fluid overload, coagulopathy, and pulmonary edema. A new NIH study evaluates this strategy. Join host, Geoff Wall, with guest, Matt Trump, DO, as they evaluate initial septic shock management.
The GameChanger
Liberal fluid management (30 mL/Kg) in the early phase of septic shock may not result in lower mortality than a more restrictive strategy. However, vasopressor predominant strategy may be used in its place.
Show Segments
00:00 - Introductions
01:08 - Background on Fluid Administration in Septic Shock
05:44 - Looking at the Study
15:55 - The GameChanger: Shapiro et al Results
21:21 - Connecting to Practice: What Should We Takeaway
34:31 - Closing Remarks
Host
Geoff Wall, PharmD, BCPS, FCCP, CGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health
Matt Trump, DO
Iowa Clinics
References and Resources
Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension.
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CE Information
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Discuss the background of fluid administration in septic shock
2. Describe the results of the Shapiro et al study
0.05 CEU/0.5 Hr
UAN: 0107-0000-23-103-H01-P
Initial release date: 03/13/2023
Expiration date: 03/13/2024
Additional CPE and CME details can be found here.