Question

A 70-kg patient presents to the ED with suspected septic shock: temperature 102.9 °F, HR 120, SBP 82 mm Hg after 1 L fluids, lactate 5.2 mmol/L. Which initial fluid resuscitation is recommended?

Accepted Answer

30 mL/kg balanced crystalloid (≈2.1 L) within 3 hours

Answer

500 mL normal saline bolus

Answer

1 L lactated Ringer's bolus

Answer

2 L crystalloid (≈10 mL/kg) over 3 hours

Answer

50 mL/kg crystalloid immediately (≈3.5 L)

Practice question

A 70-kg patient presents to the ED with suspected septic shock: temperature 102.9 °F, HR 120, SBP 82 mm Hg after 1 L fluids, lactate 5.2 mmol/L. Which initial fluid resuscitation is recommended?