A 28-year-old woman presents with acute epigastric pain radiating to the back and vomiting. Serum lipase is 15 times the upper limit of normal and ult...

Question

A 28-year-old woman presents with acute epigastric pain radiating to the back and vomiting. Serum lipase is 15 times the upper limit of normal and ultrasound shows gallstones. Vitals are stable. According to standard management principles, what is the most appropriate initial fluid strategy?

Accepted Answer

Aggressive intravenous isotonic crystalloid resuscitation in the first 24 hours

Answer

Restrictive fluids to avoid third spacing

Answer

Hypotonic saline at 50 mL/h

Answer

Colloid-only resuscitation

Answer

No intravenous fluids if oral intake is possible

ca-mccqe1 MCQ (SBA): Acute pancreatitis

A 28-year-old woman presents with acute epigastric pain radiating to the back and vomiting. Serum lipase is 15 times the upper limit of normal and ultrasound shows gallstones. Vitals are stable. According to standard management principles, what is the most appropriate initial fluid strategy?