Question

A 54-year-old man presents to ED with signs of sepsis from pneumonia: BP 85/50 mmHg, heart rate 115 beats/min, lactate 4 mmol/L. He weighs 80 kg. According to Surviving Sepsis and Australian emergency practice, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

At least 30 mL/kg of balanced crystalloid within the first 3 hours

Answer

No fluids until central venous pressure is measured

Answer

10 mL/kg bolus of 0.9% sodium chloride over 3 hours

Answer

Colloid-based resuscitation with hydroxyethyl starch

Answer

Restrict fluids and start vasopressors only

Practice question

A 54-year-old man presents to ED with signs of sepsis from pneumonia: BP 85/50 mmHg, heart rate 115 beats/min, lactate 4 mmol/L. He weighs 80 kg. According to Surviving Sepsis and Australian emergency practice, what is the most appropriate initial fluid resuscitation strategy?