A 64-year-old man presents with fever, hypotension (BP 86/50 mmHg), tachycardia and confusion. He has a suspected urinary source of sepsis. What is th...

Question

A 64-year-old man presents with fever, hypotension (BP 86/50 mmHg), tachycardia and confusion. He has a suspected urinary source of sepsis. What is the most appropriate immediate fluid resuscitation strategy according to sepsis guidelines?

Accepted Answer

20 mL/kg isotonic crystalloid within the first hour

Answer

500 mL 5 percent dextrose over 1 hour

Answer

Albumin 4 percent 5 mL/kg bolus

Answer

Restrict fluids and start vasopressors immediately

Answer

No fluids until urine output is measured

au-amc MCQ (SBA): Septic shock initial fluid resuscitation

A 64-year-old man presents with fever, hypotension (BP 86/50 mmHg), tachycardia and confusion. He has a suspected urinary source of sepsis. What is the most appropriate immediate fluid resuscitation strategy according to sepsis guidelines?