Question

A 72-year-old in the ED has suspected urosepsis: BP 84/54 mmHg, HR 118/min, RR 26/min, lactate 4.2 mmol/L. What is the most appropriate initial fluid strategy?

Accepted Answer

Administer 30 mL/kg IV crystalloid rapidly and reassess hemodynamics

Answer

Albumin 5% 500 mL over 2 hours

Answer

Small 500 mL crystalloid bolus and reassess in 6 hours

Answer

Colloid bolus 30 mL/kg within 1 hour

Answer

Restrict fluids initially and start dopamine

Practice question

A 72-year-old in the ED has suspected urosepsis: BP 84/54 mmHg, HR 118/min, RR 26/min, lactate 4.2 mmol/L. What is the most appropriate initial fluid strategy?