Question

A 54-year-old with acute epigastric pain, lipase >3× ULN, and gallstones on ultrasound is admitted. Hemodynamically stable. Which fluid strategy is preferred initially?

Accepted Answer

Moderately aggressive fluid with lactated Ringer's and reassessment

Answer

Aggressive normal saline at 500 mL/hr in all

Answer

D5W at 250 mL/hr

Answer

Hold IV fluids; start early TPN

Answer

Colloid boluses

Practice question

A 54-year-old with acute epigastric pain, lipase >3× ULN, and gallstones on ultrasound is admitted. Hemodynamically stable. Which fluid strategy is preferred initially?