An 80-kg man with septic shock is recognized in the ED with MAP 58 mmHg and lactate 5.2 mmol/L after suspected pneumonia. According to current guidanc...

Question

An 80-kg man with septic shock is recognized in the ED with MAP 58 mmHg and lactate 5.2 mmol/L after suspected pneumonia. According to current guidance, which initial fluid strategy is recommended?

Accepted Answer

Balanced or normal saline crystalloids 30 mL/kg for hypotension or lactate ≥4 mmol/L

Answer

Crystalloid 10 mL/kg over 3 hours

Answer

Colloid 30 mL/kg within first hour

Answer

Albumin 25% 1 g/kg immediately

Answer

Restrict fluids; start vasopressors first

Sepsis Bundle — MRCEM SBA MCQ

An 80-kg man with septic shock is recognized in the ED with MAP 58 mmHg and lactate 5.2 mmol/L after suspected pneumonia. According to current guidance, which initial fluid strategy is recommended?