A 74-year-old hypotensive patient in the ED meets Sepsis-3 criteria with lactate 4.1 mmol/L. What fluid strategy is recommended initially?...

Question

A 74-year-old hypotensive patient in the ED meets Sepsis-3 criteria with lactate 4.1 mmol/L. What fluid strategy is recommended initially?

Accepted Answer

Crystalloid bolus 30 mL/kg within the first 3 hours

Answer

500 mL normal saline bolus, reassess after 2 hours

Answer

Albumin 5% 1 L upfront for all septic patients

Answer

No fluids until point-of-care ultrasound excludes heart failure

Answer

Start vasopressors before fluids

us-usmle-step-2 MCQ (SBA): Septic Shock