A 58-year-old man presents with fever, rigours and confusion. Vitals: BP 82/50 mmHg, HR 120/min, RR 28/min, T 39.0 °C, oxygen saturation 93% on room a...

Question

A 58-year-old man presents with fever, rigours and confusion. Vitals: BP 82/50 mmHg, HR 120/min, RR 28/min, T 39.0 °C, oxygen saturation 93% on room air. Lactate is 4.5 mmol/L. According to the 2021 Surviving Sepsis Campaign guideline, what is the MOST appropriate initial fluid resuscitation strategy?

Accepted Answer

30 mL/kg IV crystalloid within the first 3 hours

Answer

10 mL/kg IV colloid within the first 3 hours

Answer

Maintenance fluids only at 75 mL/h

Answer

Dextrose 5% in water at 30 mL/kg

Answer

No fluids until central venous pressure is measured

ca-mccqe1 MCQ (SBA): Septic shock - initial fluid resuscitation