A 45-year-old with severe epigastric pain and lipase 3x ULN has acute pancreatitis without organ failure. Optimal initial fluid choice and approach?...

Question

A 45-year-old with severe epigastric pain and lipase >3x ULN has acute pancreatitis without organ failure. Optimal initial fluid choice and approach?

Accepted Answer

Lactated Ringer's with goal-directed early resuscitation

Answer

Normal saline boluses to target urine output only

Answer

D5W at maintenance rate

Answer

Colloid boluses to target MAP

Answer

Restrict fluids in first 24 hours

"moderate" MCQ (SBA): Acute Pancreatitis