Question

A 39-year-old woman with fever 39.2°C (102.6°F), new hypotension, lactate 4.5 mmol/L, and suspected pneumonia receives broad-spectrum antibiotics. What fluid resuscitation is recommended initially?

Accepted Answer

Balanced crystalloid or normal saline 30 mL/kg within 3 hours

Answer

Hydroxyethyl starch 30 mL/kg over 6 hours

Answer

Albumin 5% 10 mL/kg immediately

Answer

No fluids until lactate normalizes

Answer

D5W at maintenance rate

Practice question

A 39-year-old woman with fever 39.2°C (102.6°F), new hypotension, lactate 4.5 mmol/L, and suspected pneumonia receives broad-spectrum antibiotics. What fluid resuscitation is recommended initially?