A 68-year-old with sepsis from pneumonia is hypotensive (MAP 58) and lactate 4.2 mmol/L. Initial bundle elements within first hours should include whi...

Question

A 68-year-old with sepsis from pneumonia is hypotensive (MAP 58) and lactate 4.2 mmol/L. Initial bundle elements within first hours should include which fluid strategy?

Accepted Answer

30 mL/kg crystalloid bolus

Answer

Colloid bolus 10 mL/kg

Answer

No fluids until vasopressors started

Answer

Restrict fluids to 10 mL/kg total

Answer

Albumin as first-line fluid

us-usmle-step-2 MCQ (SBA): Sepsis

A 68-year-old with sepsis from pneumonia is hypotensive (MAP 58) and lactate 4.2 mmol/L. Initial bundle elements within first hours should include which fluid strategy?