Fecal Peritonitis in Medicine / Internal Medicine — 78yo Man | Critical Care | SMLE Q#12444
SMLE Question #12444
Medicine / Internal Medicine
Critical Care
Objective: OBJ-308
Last updated: February 2026
A 78-year-old man is in the surgical ICU 12 hours after emergency laparotomy for perforated sigmoid diverticulitis with fecal peritonitis. He has received 6 L isotonic crystalloid, 1 unit packed RBCs, broad-spectrum IV antibiotics, and surgical source control. Over the past 3 hours, urine output has fallen despite fluid resuscitation, and his lungs are clear on auscultation. What is the most appropriate immediate IV intervention?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.