A 78-year-old with suspected sepsis (lactate 4.2 mmol/L, hypotension) arrives at 15:10. What initial fluid strategy aligns with current guidance?...

Question

A 78-year-old with suspected sepsis (lactate 4.2 mmol/L, hypotension) arrives at 15:10. What initial fluid strategy aligns with current guidance?

Accepted Answer

Restrict fluids until vasopressors started

Answer

Albumin 1 g/kg within 1 hour

Answer

Hypertonic saline 3% 250 mL bolus

Answer

Colloids preferentially over crystalloids

Answer

30 mL/kg balanced crystalloids within first 3 hours

us-abem MCQ (SBA): Sepsis