A 67-year-old presents with sepsis from pneumonia: MAP 58 mm Hg, lactate 4.2 mmol/L. What fluid recommendation applies initially?...

Question

A 67-year-old presents with sepsis from pneumonia: MAP 58 mm Hg, lactate 4.2 mmol/L. What fluid recommendation applies initially?

Accepted Answer

Give >=30 mL/kg IV crystalloid within the first 3 hours

Answer

Restrict fluids and start vasopressor first

Answer

Use hydroxyethyl starch 6%

Answer

Albumin as first-line fluid

Answer

Wait for central venous pressure measurement before fluids

Septic Shock — MRCEM SBA MCQ