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Physiology General 6e90e8c7

The best method to assess the adequacy of replacement of fluid in a case of shock is:

A
Decrease in thirst
B
Increased PaO
C
Increase in urine output
D
Blood pressure
High-Yield Explanation
The primary goal in fluid resuscitation for all forms of shock is the same: restoration of adequate end organ perfusion. Urine output is a quantitative and relatively reliable indicator of organ perfusion. It is a reflection of kidney perfusion and function and an indicator of renal, cardiovascular, and fluid volume status. Must know: Signs of a successful initial resuscitation: Improved blood pressure Improving level of consciousness Improving peripheral perfusion Decreasing tachycardia Decreasing lactate Normalizing pH Ref: Holcroft J.W., Anderson J.T., Sena M.J. (2010). Chapter 12. Shock & Acute Pulmonary Failure in Surgical Patients. In G.M. Dohey (Ed), CURRENT Diagnosis & Treatment:

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