A 62-year-old man presents to the ED febrile, hypotensive (MAP 58 mm Hg), tachycardic, and with lactate 5.2 mmol/L after a suspected UTI. Which initia...

Question

A 62-year-old man presents to the ED febrile, hypotensive (MAP 58 mm Hg), tachycardic, and with lactate 5.2 mmol/L after a suspected UTI. Which initial fluid strategy is recommended as part of the early bundle?

Accepted Answer

30 mL/kg crystalloid within the first 3 hours, followed by reassessment

Answer

10 mL/kg balanced crystalloid within 1 hour

Answer

20 mL/kg normal saline over 3 hours

Answer

500 mL crystalloid bolus then reassess only if MAP

Answer

Initiate norepinephrine immediately and defer fluid bolus

us-usmle-step-2 MCQ (SBA): Septic Shock

A 62-year-old man presents to the ED febrile, hypotensive (MAP 58 mm Hg), tachycardic, and with lactate 5.2 mmol/L after a suspected UTI. Which initial fluid strategy is recommended as part of the early bundle?