A 60-year-old with severe acute pancreatitis is admitted within 12 hours of pain onset. What initial fluid strategy is recommended?...

Question

A 60-year-old with severe acute pancreatitis is admitted within 12 hours of pain onset. What initial fluid strategy is recommended?

Accepted Answer

Moderate resuscitation with lactated Ringer's guided by frequent reassessment

Answer

Aggressive normal saline boluses to high urine output targets

Answer

Colloid boluses to maintain MAP >100

Answer

No fluids until hematocrit falls

Answer

D5W maintenance only

us-abem MCQ (SBA): Acute Pancreatitis-Initial Resuscitation