A 47-year-old with epigastric pain and elevated lipase is diagnosed with acute pancreatitis due to gallstones. He is hemodynamically stable without or...

Question

A 47-year-old with epigastric pain and elevated lipase is diagnosed with acute pancreatitis due to gallstones. He is hemodynamically stable without organ failure. Which initial fluid strategy is recommended?

Accepted Answer

Lactated Ringer's bolus then goal‑directed infusion

Answer

Normal saline 250 mL/h regardless of status

Answer

Restrict fluids to avoid third spacing

Answer

Colloid infusion (albumin) for resuscitation

Answer

D5W with potassium at maintenance rate

us-abim MCQ (SBA): Acute Pancreatitis-Fluid Choice

A 47-year-old with epigastric pain and elevated lipase is diagnosed with acute pancreatitis due to gallstones. He is hemodynamically stable without organ failure. Which initial fluid strategy is recommended?