11 St. 56 Min, 9 Nov 2024 Jahr - ED Physician's attestation note documenting Septic Shock: "Patient arrives in shock, with pressures in the 50s...Initiating broad-spectrum antibiotics, fluid bolus for management of possible septic shock...
I am not giving a full 30 cc/kg fluid bolus due to the patient's ESRD on HD, will give titrated bolus doses in 500 cc increments."