Question

A 67-year-old with severe sepsis (SBP 84/50 mm Hg, lactate 5.2 mmol/L) has suspected pyelonephritis. Initial fluid resuscitation per Surviving Sepsis Campaign?

Accepted Answer

30 mL/kg crystalloid within the first 3 hours

Answer

500 mL crystalloid bolus then reassess in 6 hours

Answer

Colloid bolus 1-2 L immediately

Answer

Vasopressors first, fluids deferred until MAP <60 mm Hg persists

Answer

10 mL/kg crystalloid then vasopressors

Practice question

A 67-year-old with severe sepsis (SBP 84/50 mm Hg, lactate 5.2 mmol/L) has suspected pyelonephritis. Initial fluid resuscitation per Surviving Sepsis Campaign?