A 67-year-old with suspected septic shock (MAP 58 mmHg, lactate 5.0 mmol/L) after pneumonia receives broad-spectrum antibiotics promptly. What is the ...

Question

A 67-year-old with suspected septic shock (MAP 58 mmHg, lactate 5.0 mmol/L) after pneumonia receives broad-spectrum antibiotics promptly. What is the recommended initial fluid resuscitation?

Accepted Answer

30 mL/kg IV crystalloid within the first 3 hours

Answer

10 mL/kg albumin bolus, avoid crystalloids

Answer

Colloid-only resuscitation to 20 mL/kg

Answer

Delay fluids until central line placed

Answer

Small boluses only if lactate >6 mmol/L

Septic Shock Bundle — MRCEM SBA MCQ

A 67-year-old with suspected septic shock (MAP 58 mmHg, lactate 5.0 mmol/L) after pneumonia receives broad-spectrum antibiotics promptly. What is the recommended initial fluid resuscitation?