Question

A 66-year-old with fever, hypotension (MAP 55 mm Hg), lactate 5 mmol/L, and suspected pneumonia meets sepsis criteria. Initial fluid resuscitation should be:

Accepted Answer

Balanced crystalloid 30 mL/kg within 3 hours

Answer

Normal saline 10 mL/kg over 1 hour

Answer

Colloid 20 mL/kg immediately

Answer

D5W 30 mL/kg

Answer

Oral fluids as tolerated

Practice question

A 66-year-old with fever, hypotension (MAP 55 mm Hg), lactate 5 mmol/L, and suspected pneumonia meets sepsis criteria. Initial fluid resuscitation should be: