Question

A 70-kg patient presents in septic shock (MAP 58 mm Hg after 1 L crystalloid, lactate 4.2 mmol/L). What initial fluid recommendation is guideline-concordant?

Accepted Answer

Administer 30 mL/kg (≈2.1 L) balanced crystalloid within the first 3 hours

Answer

Limit fluids to 10 mL/kg and start vasopressors immediately

Answer

Use hydroxyethyl starch 6% for initial resuscitation

Answer

Give albumin 5% as first-line fluid

Answer

Delay fluids until central venous pressure is measured

Practice question

A 70-kg patient presents in septic shock (MAP 58 mm Hg after 1 L crystalloid, lactate 4.2 mmol/L). What initial fluid recommendation is guideline-concordant?