Question

In the ED, a 62-year-old with suspected septic shock has BP 84/50 mm Hg, HR 118, RR 26, SpO₂ 95% on 2 L, T 102.7°F, and initial lactate 4.3 mmol/L. Which initial fluid strategy aligns with current sepsis bundles?

Accepted Answer

Give 30 mL/kg IV crystalloid within the first 3 hours; reassess perfusion and start norepinephrine if MAP <65 mm Hg

Answer

Give 10 mL/kg balanced crystalloid over 3 hours, then reassess

Answer

Give 20 mL/kg normal saline over 3 hours and add albumin if no response

Answer

Restrict fluids initially and start vasopressin first-line

Answer

Administer 1 L 5% albumin as sole resuscitation fluid

Practice question

In the ED, a 62-year-old with suspected septic shock has BP 84/50 mm Hg, HR 118, RR 26, SpO₂ 95% on 2 L, T 102.7°F, and initial lactate 4.3 mmol/L. Which initial fluid strategy aligns with current sepsis bundles?