Question

An 80-kg patient with septic shock (MAP 54 mmHg) receives 1 L normal saline. Lactate is 5.0 mmol/L. What is the recommended initial fluid resuscitation target within 3 hours?

Accepted Answer

Administer ~2.4 L more crystalloid to reach ≥30 mL/kg total

Answer

Restrict fluids; start albumin only

Answer

Use hetastarch 500 mL

Answer

Give small boluses until CVP 12-15 mmHg

Answer

Rely solely on vasopressors without fluids

Practice question

An 80-kg patient with septic shock (MAP 54 mmHg) receives 1 L normal saline. Lactate is 5.0 mmol/L. What is the recommended initial fluid resuscitation target within 3 hours?