QuestionSBA
QuestionChoice
This is incorrect s NICE guidelines recommend fluid resuscitation with crystalloids that have a sodium content of 130-154 mmol/l and 5% glucose solution contains 0 mmol/l of sodium chloride.
10002579
d
500ml IV 5% glucose
QuestionChoice
This is incorrect as NICE guidelines recommend fluid resuscitation with crystalloids that have a sodium content of 130-154 mmol/l and this only has 31 mmol/l.
10002577
b
500ml IV Sodium chloride 0.18%/4% glucose
QuestionChoice
This is correct. NICE guidelines recommends administering IV fluids, using crystalloids that contains sodium in the range 130-154 mmol/l. Giving a 500ml bolus in less than 15 mins.
10002576
a
500ml IV Sodium chloride 0.9%
QuestionChoice
This is incorrect as NICE guidelines recommend fluid resuscitation with crystalloids that have a sodium content of 130-154 mmol/l and this only has 77 mmol/l.
10002578
c
500ml IV 0.45% NaCl/4% glucose
QuestionChoice
This is incorrect, human albumin solution is only considered in fluid resuscitation for patients with severe sepsis.
10002580
e
500ml IV Human Albumin 4.5%
Concept
Chapter
2693
4053
Shock
Topic
161
Emergency Medicine
13062
A 58-year-old male with a 3 month history of melaena is brought into the Emergency Department as he has become increasingly confused. You take some obs which are: BP - 75/46 mm/Hg, HR - 127 BPM, the temperature of 36.2. On examination the patient has pale, cool hands.

What is the most appropriate management?
a