A 72-kg adult arrives with septic shock: hypotension after 1 L fluid, lactate 4.2 mmol/L, suspected pneumonia. What is the most appropriate initial fl...

Question

A 72-kg adult arrives with septic shock: hypotension after 1 L fluid, lactate 4.2 mmol/L, suspected pneumonia. What is the most appropriate initial fluid resuscitation action?

Accepted Answer

Administer 30 mL/kg (≈2.2 L) IV balanced crystalloid now

Answer

Administer 10 mL/kg crystalloid over 3 hours

Answer

Start vasopressors before further fluids

Answer

Restrict fluids to avoid ARDS

Answer

Give 1 unit PRBCs to raise oxygen delivery

us-abem MCQ (SBA): Septic Shock

A 72-kg adult arrives with septic shock: hypotension after 1 L fluid, lactate 4.2 mmol/L, suspected pneumonia. What is the most appropriate initial fluid resuscitation action?