A 68-year-old man with a history of congestive heart failure and chronic kidney disease presents with septic shock from pneumonia. According to Surviv...

Question

A 68-year-old man with a history of congestive heart failure and chronic kidney disease presents with septic shock from pneumonia. According to Surviving Sepsis Campaign principles applied in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

Administer 30 mL/kg of isotonic crystalloid within the first 3 hours

Answer

Avoid intravenous fluids due to heart failure

Answer

Give 1 L of 5% dextrose over 6 hours

Answer

Start vasopressors before any fluids

Answer

Use colloid solution as first-line

ca-mccqe1 MCQ (SBA): Septic shock

A 68-year-old man with a history of congestive heart failure and chronic kidney disease presents with septic shock from pneumonia. According to Surviving Sepsis Campaign principles applied in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?