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MediumInfectious DiseasesSeptic shockca-mccqe1ca-rcpsc-emca-rcpsc-im

A 64-year-old man with fever, rigors, hypoxia, and hypotension is admitted with suspected pneumonia and sepsis. Blood pressure is 82/48 mm Hg, heart rate 120 beats per minute, lactate 4.5 mmol L. What is the most appropriate initial fluid resuscitation strategy according to Surviving Sepsis principles?

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