A 69-year-old with septic shock has persistent hyperchloremic metabolic acidosis after large volumes of normal saline. Which change may mitigate this?...

Question

A 69-year-old with septic shock has persistent hyperchloremic metabolic acidosis after large volumes of normal saline. Which change may mitigate this?

Accepted Answer

Switch to balanced crystalloids

Answer

Continue normal saline

Answer

Give hypertonic saline

Answer

Stop fluids entirely

Answer

Add bicarbonate for all

us-abem MCQ (SBA): Sepsis Fluid Choice

A 69-year-old with septic shock has persistent hyperchloremic metabolic acidosis after large volumes of normal saline. Which change may mitigate this?