Question

A 64-year-old septic patient with hypotension (MAP 58 mm Hg) and lactate 4.2 mmol/L arrives to the ED. What initial fluid resuscitation is recommended?

Accepted Answer

30 mL/kg isotonic crystalloid within the first 3 hours

Answer

10 mL/kg colloid within 1 hour

Answer

500 mL bolus of D5W over 30 minutes

Answer

Bolus until MAP ≥65 mm Hg without a set volume

Answer

No fluids until vasopressors are started

Practice question

A 64-year-old septic patient with hypotension (MAP 58 mm Hg) and lactate 4.2 mmol/L arrives to the ED. What initial fluid resuscitation is recommended?