Question

A 63-year-old man presents to the emergency department with fever, hypotension (BP 80/50 mmHg), tachycardia and suspected pneumonia. Lactate is 4.5 mmol/L. According to contemporary sepsis guidelines, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

Rapid administration of 30 mL/kg of crystalloid within the first 3 hours

Answer

Restrictive fluids with 250 mL 0.9% sodium chloride only

Answer

Colloid bolus of 50 mL/kg immediately

Answer

Intravenous furosemide to prevent fluid overload

Answer

Delay fluids until vasopressors are started

Practice question

A 63-year-old man presents to the emergency department with fever, hypotension (BP 80/50 mmHg), tachycardia and suspected pneumonia. Lactate is 4.5 mmol/L. According to contemporary sepsis guidelines, what is the most appropriate initial fluid resuscitation strategy?