Question

A 70-year-old with recent orthopaedic surgery is hypotensive (84/52), febrile, and tachypnoeic with lactate 4.2 mmol/L. What fluid strategy is recommended?

Accepted Answer

Administer 30 mL/kg crystalloid within 3 hours for hypotension/lactate ≥4

Answer

Give 10 mL/kg colloid then reassess at 6 hours

Answer

Restrict fluids; start vasopressors first

Answer

Bolus only if CVP <8 mm Hg

Answer

Administer 1 L over 24 hours

Practice question

A 70-year-old with recent orthopaedic surgery is hypotensive (84/52), febrile, and tachypnoeic with lactate 4.2 mmol/L. What fluid strategy is recommended?