A 24-year-old man presents 6 hours after onset of severe epigastric pain; lipase is 3× ULN. Initial fluid management for suspected acute pancreatitis...

Question

A 24-year-old man presents 6 hours after onset of severe epigastric pain; lipase is >3× ULN. Initial fluid management for suspected acute pancreatitis?

Accepted Answer

Lactated Ringer's preferentially with goal-directed resuscitation

Answer

No fluids for first 12 hours

Answer

Aggressive colloid bolus

Answer

Normal saline only, large volumes regardless of status

Answer

Diuretics to prevent edema

us-abem MCQ (SBA): Acute Pancreatitis

A 24-year-old man presents 6 hours after onset of severe epigastric pain; lipase is >3× ULN. Initial fluid management for suspected acute pancreatitis?