Question

A 55-year-old with hypertension and dyslipidaemia presents to the ED with sepsis from pneumonia. After 2.1 L crystalloid (70 kg) he remains hypotensive (MAP 60 mm Hg). Lactate is 5.2 mmol/L. Which monitoring approach for additional fluids is preferred?

Accepted Answer

Dynamic measures (e.g., passive leg raise, stroke volume variation) to guide small boluses

Answer

Static CVP target >= 12 mm Hg only

Answer

Administer 2 more litres regardless of response

Answer

Rely solely on skin turgor and mucous membranes

Answer

Immediate diuresis

Practice question

A 55-year-old with hypertension and dyslipidaemia presents to the ED with sepsis from pneumonia. After 2.1 L crystalloid (70 kg) he remains hypotensive (MAP 60 mm Hg). Lactate is 5.2 mmol/L. Which monitoring approach for additional fluids is preferred?