Hi, I work in a Coronary Care ICU. Today, I attended my hospital's sepsis day conference and a lot of nurses wanted to clarify/know more about management of septic shock on patients who have high risk for adverse effects of aggressive fluid resuscitation (specifically heart failure, renal failure, and liver failure patients). I searched online for research studies on this topic but cannot find a lot of resources. I would like to know your thoughts on this based on your experiences. Side note: In regards to sepsis core measures, we were told that if a patient who meets severe sepsis/septic shock criteria but did not receive at least 30ml/kg fluid bolus, it means that we did not fully implement the sepsis bundle, thus reducing our hospital's sepsis bundle compliance.