A 67-year-old man (80 kg) presents with fever, hypotension (MAP 58 mm Hg), lactate 5.2 mmol/L, and suspected pneumonia. According to current guideline...

Question

A 67-year-old man (80 kg) presents with fever, hypotension (MAP 58 mm Hg), lactate 5.2 mmol/L, and suspected pneumonia. According to current guidelines, what is the most appropriate initial fluid resuscitation?

Accepted Answer

30 mL/kg isotonic crystalloid within the first 3 hours

Answer

250 mL crystalloid boluses guided only by CVP

Answer

5% dextrose at 125 mL/h

Answer

1 L colloid over 30 minutes

Answer

No fluid resuscitation is indicated

started as early as possible. albumin is not first‑line; small unguided boluses are inadequate; dextrose is in

A 67-year-old man (80 kg) presents with fever, hypotension (MAP 58 mm Hg), lactate 5.2 mmol/L, and suspected pneumonia. According to current guidelines, what is the most appropriate initial fluid resuscitation?