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Question preview · ABEM Board

A 70-kg patient presents to the ED with suspected septic shock: temperature 102.9 °F, HR 120, SBP 82 mm Hg after 1 L fluids, lactate 5.2 mmol/L. Which initial fluid resuscitation is recommended?

  1. A. 500 mL normal saline bolus
  2. B. 1 L lactated Ringer's bolus
  3. C. 2 L crystalloid (≈10 mL/kg) over 3 hours
  4. D. 30 mL/kg balanced crystalloid (≈2.1 L) within 3 hours
  5. E. 50 mL/kg crystalloid immediately (≈3.5 L)

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