A 57-year-old with suspected acute pancreatitis (lipase 3× ULN, characteristic pain) within 6 hours of symptom onset is stable. Which fluid strategy ...

Question

A 57-year-old with suspected acute pancreatitis (lipase >3× ULN, characteristic pain) within 6 hours of symptom onset is stable. Which fluid strategy is recommended?

Accepted Answer

Moderate goal-directed IV fluids (e.g., lactated Ringer's) with frequent reassessment

Answer

Aggressive initial boluses to achieve positive 24-hr balance >5 L

Answer

Normal saline at 50 mL/hr regardless of status

Answer

Colloid resuscitation as first line

Answer

No fluids unless hypotensive

us-abim MCQ (SBA): Acute Pancreatitis (Fluids)

A 57-year-old with suspected acute pancreatitis (lipase >3× ULN, characteristic pain) within 6 hours of symptom onset is stable. Which fluid strategy is recommended?