Question

A 54-year-old man with acute epigastric pain and elevated lipase is diagnosed with acute pancreatitis (non-cholestatic). Which initial fluid strategy is recommended?

Accepted Answer

Lactated Ringer's with a goal of moderate resuscitation and frequent reassessment

Answer

Aggressive normal saline 30 mL/kg bolus then 200 mL/h

Answer

D5W at 125 mL/h

Answer

No IV fluids if hemodynamically stable

Answer

Colloid boluses (albumin) as first-line

Practice question

A 54-year-old man with acute epigastric pain and elevated lipase is diagnosed with acute pancreatitis (non-cholestatic). Which initial fluid strategy is recommended?