Question

A 56-year-old with acute pancreatitis (gallstones) is admitted within 6 hours of onset. Vitals stable; BUN 18 mg/dL. What fluid strategy is recommended initially?

Accepted Answer

Moderately aggressive isotonic crystalloid (prefer lactated Ringer's) with frequent reassessment

Answer

No fluids until BUN rises >25 mg/dL

Answer

Aggressive normal saline at 500 mL/h for 72 hours

Answer

Colloid-only resuscitation

Answer

Restrict oral intake for 5 days then start parenteral nutrition

Practice question

A 56-year-old with acute pancreatitis (gallstones) is admitted within 6 hours of onset. Vitals stable; BUN 18 mg/dL. What fluid strategy is recommended initially?