Question

A 49-year-old with acute pancreatitis (non-cholangitic) 8 hours after arrival is hemodynamically stable. Best initial fluid strategy?

Accepted Answer

Goal-directed lactated Ringer's resuscitation

Answer

Aggressive normal saline 20 mL/kg boluses repeatedly regardless of response

Answer

Restrict fluids to avoid SIRS

Answer

Colloid infusion first

Answer

Early diuretics to prevent edema

Practice question

A 49-year-old with acute pancreatitis (non-cholangitic) 8 hours after arrival is hemodynamically stable. Best initial fluid strategy?