A 72-year-old patient in septic shock receives 4 liters of N…
A 72-year-old patient in septic shock receives 4 liters of NS over 6 hours. She develops increasing dyspnea, elevated JVP, and diffuse crackles. Labs show: Na 150 mEq/L, Cl 120 mEq/L, HCO₃ 18 mEq/L, lactate 1.0. Which complication of fluid therapy is most likely?
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