Question

A 63-year-old with fever, hypotension, lactate 4.2 mmol/L, and suspected pneumonia meets septic shock criteria. Initial management should include which fluid strategy?

Accepted Answer

30 mL/kg isotonic crystalloid within the first 3 hours

Answer

25 mL/kg balanced crystalloid in the first 6 hours

Answer

15 mL/kg colloid bolus over 1 hour

Answer

D5W at 150 mL/h for maintenance only

Answer

No fluids until central venous pressure measured

Practice question

A 63-year-old with fever, hypotension, lactate 4.2 mmol/L, and suspected pneumonia meets septic shock criteria. Initial management should include which fluid strategy?