A 74-year-old with suspected sepsis has lactate 4.2 mmol/L and MAP 58 mm Hg. Best initial fluid resuscitation target?...

Question

A 74-year-old with suspected sepsis has lactate 4.2 mmol/L and MAP 58 mm Hg. Best initial fluid resuscitation target?

Accepted Answer

At least 30 mL/kg isotonic crystalloid within the first 3 hours

Answer

20 mL/kg isotonic crystalloid within 1 hour

Answer

Colloid bolus 1-2 L within 1 hour

Answer

Restrict fluids; start vasopressors first

Answer

D5W 30 mL/kg within 3 hours

us-abem MCQ (SBA): Sepsis Resuscitation