Question

A 57-year-old with acute pancreatitis (gallstones) is euvolaemic after initial bolus. What maintenance fluid strategy is recommended in the first 24 hours absent contraindications?

Accepted Answer

Balanced crystalloid (e.g., lactated Ringer's) at 150-200 mL/h with frequent reassessment

Answer

Normal saline at 250 mL/h

Answer

Colloid solution at 100 mL/h

Answer

D5½NS at 200 mL/h

Answer

Avoid IV fluids to prevent oedema

Practice question

A 57-year-old with acute pancreatitis (gallstones) is euvolaemic after initial bolus. What maintenance fluid strategy is recommended in the first 24 hours absent contraindications?