Question

A 60-year-old man presents with fever, hypotension (BP 82/50 mm Hg), tachycardia, and suspected pneumonia. Lactate is 4.0 mmol/L. According to Surviving Sepsis Campaign principles adopted in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

Administer a 30 mL/kg bolus of isotonic crystalloid within the first 3 hours

Answer

No fluids; start vasopressors immediately

Answer

Administer 500 mL of 5% dextrose over 6 hours

Answer

Give colloid (albumin) as first-line fluid

Answer

Delay fluids until culture results are available

Practice question

A 60-year-old man presents with fever, hypotension (BP 82/50 mm Hg), tachycardia, and suspected pneumonia. Lactate is 4.0 mmol/L. According to Surviving Sepsis Campaign principles adopted in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?