Question

A 67-year-old woman with severe sepsis (MAP 58 mm Hg, lactate 5.2 mmol/L) after suspected pneumonia. What initial fluid resuscitation is recommended?

Accepted Answer

30 mL/kg IV crystalloid within the first 3 hours

Answer

10 mL/kg crystalloid over 6 hours

Answer

Colloid bolus 500 mL only

Answer

Hypertonic saline 3% 250 mL

Answer

Restrict fluids; start norepinephrine first

Practice question

A 67-year-old woman with severe sepsis (MAP 58 mm Hg, lactate 5.2 mmol/L) after suspected pneumonia. What initial fluid resuscitation is recommended?