A 44-year-old man presents with fever, hypotension (BP 82/48 mm Hg), tachycardia 120 beats/min, and suspected septic shock from pneumonia. According t...

Question

A 44-year-old man presents with fever, hypotension (BP 82/48 mm Hg), tachycardia 120 beats/min, and suspected septic shock from pneumonia. According to international sepsis principles applied in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

Rapid infusion of 30 mL/kg of balanced crystalloid within the first 3 hours

Answer

Colloid bolus 10 mL/kg once, then reassess after 24 hours

Answer

Restrict fluids and start vasopressors immediately without bolus

Answer

Give 500 mL crystalloid over 6 hours and wait

Answer

Use hypotonic saline to avoid hypernatraemia

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

A 44-year-old man presents with fever, hypotension (BP 82/48 mm Hg), tachycardia 120 beats/min, and suspected septic shock from pneumonia. According to international sepsis principles applied in Canadian practice, what is the most appropriate initial fluid resuscitation strategy?