An 81-year-old man with an extensive medical history including hypertension, type II diabetes mellitus, COPD, and gout was admitted to the hospital with microcytic anemia, and signs and symptoms of large bowel obstruction. The patient had lost approximately 4.5 kgs over the past one month. A colonoscopy revealed an obstructive carcinoma of the descending colon. The patient subsequently underwent an exploratory laparotomy and left colectomy.

He was admitted to the ICU approximately 4 hours postoperatively. How would you optimally manage this patient's fluid status? (Answer is posted in the comment section below!) * This patient case is from the Docplexus Editorial Team for educative purposes only. Source: Case Files In Critical Care