The simple approach to a daily dilemma that faces so many clinicians!. The art is to handle the ambiguous cases with abundance of caution as getting it wrong can cause serious consequences.
![](https://static.wixstatic.com/media/7597c6_4d83f9b78dbb4e78a7dfb901c70301b5~mv2.png/v1/fill/w_49,h_23,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7597c6_4d83f9b78dbb4e78a7dfb901c70301b5~mv2.png)
The simple approach to a daily dilemma that faces so many clinicians!. The art is to handle the ambiguous cases with abundance of caution as getting it wrong can cause serious consequences.
Mini fluid challenge is to give 100ml of iv fluid and monitor the effect on Cardiac output which can be transient. (Ideally a continuous CO monitoring device must be attached to the patient).