A 58-year-old with chronic alcohol use presents with epigastric pain radiating to the back and amylase 4× ULN. Best initial fluid strategy in the firs...

Question

A 58-year-old with chronic alcohol use presents with epigastric pain radiating to the back and amylase 4× ULN. Best initial fluid strategy in the first 24 hours?

Accepted Answer

Aggressive IV crystalloid resuscitation with target urine output

Answer

Restrictive IV fluids guided by CVP

Answer

No IV fluids unless hypotensive

Answer

Colloid infusion only

Answer

Oral fluids as tolerated

ukmla MCQ (SBA): Acute pancreatitis initial management

A 58-year-old with chronic alcohol use presents with epigastric pain radiating to the back and amylase 4× ULN. Best initial fluid strategy in the first 24 hours?