Shock States and Fluid Resuscitation · NCLEX Exam

What are the 'four phases' of fluid therapy in a patient with septic shock?

  1. A single fluid bolus is given, then all fluids are stopped permanently
  2. Resuscitation, optimization, stabilization, and evacuation/de-resuscitation
  3. Diuretics are started immediately after the very first fluid bolus is given
  4. Fluids are administered and never removed once they have been given
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Correct answer: Resuscitation, optimization, stabilization, and evacuation/de-resuscitation

In septic shock, fluid therapy is viewed in phases: resuscitation, optimization, stabilization, and evacuation (or de-resuscitation) of excess fluid.

Difficulty: Medium Question 3 of 18

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