11h 56min, nov 9, 2024 y - 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."