Question

A 62-year-old man presents with fever, hypotension (MAP 54 mm Hg), tachycardia, lactate 4.5 mmol/L, and suspected pneumonia. Within the first 3 hours of recognition, which initial fluid strategy is recommended?

Accepted Answer

Crystalloid 30 mL/kg within 3 hours

Answer

Crystalloid 10 mL/kg over 6 hours

Answer

Colloid 30 mL/kg over 6 hours

Answer

Albumin 1 g/kg immediately

Answer

Crystalloid 5 mL/kg bolus only if CVP <8 mm Hg

Practice question

A 62-year-old man presents with fever, hypotension (MAP 54 mm Hg), tachycardia, lactate 4.5 mmol/L, and suspected pneumonia. Within the first 3 hours of recognition, which initial fluid strategy is recommended?