A 72-year-old arrives with septic shock (MAP 55 mmHg) and lactate 5.2 mmol/L. After obtaining cultures, what is the immediate fluid strategy?...

Question

A 72-year-old arrives with septic shock (MAP 55 mmHg) and lactate 5.2 mmol/L. After obtaining cultures, what is the immediate fluid strategy?

Accepted Answer

Give 30 mL/kg IV crystalloid within the first 3 hours

Answer

Give colloid 10 mL/kg then reassess

Answer

Restrict fluids; start vasopressin first

Answer

Hold fluids until central venous pressure is measured

Answer

Bolus dextrose 5% in water

us-abem MCQ (SBA): Septic Shock