Question

A 64-year-old man presents to the ED febrile and hypotensive (MAP 58 mm Hg) with lactate 4.1 mmol/L after a presumed urinary source. According to contemporary guidelines, which immediate fluid strategy is recommended as part of initial resuscitation?

Accepted Answer

Give 30 mL/kg of balanced crystalloid within the first 3 hours

Answer

Give 10 mL/kg of 0.9% saline over 3 hours

Answer

Give 5 mL/kg of albumin followed by vasopressors

Answer

Restrict fluids until central venous pressure is measured

Answer

Delay fluids until lactate normalises

Practice question

A 64-year-old man presents to the ED febrile and hypotensive (MAP 58 mm Hg) with lactate 4.1 mmol/L after a presumed urinary source. According to contemporary guidelines, which immediate fluid strategy is recommended as part of initial resuscitation?