A 45-year-old man with a history of alcohol use disorder presents with 2 days of severe epigastric pain radiating to his back, associated with nausea and vomiting. On examination, he is tachycardic and hypotensive. Laboratory tests show elevated amylase and lipase. What is the most appropriate initial crystalloid fluid management strategy for this patient?
✓ Correct Answer: Option B
Patients with acute pancreatitis, especially those with systemic inflammatory response syndrome (SIRS) or hypovolemia, require aggressive intravenous fluid resuscitation. Lactated Ringer's solution is preferred over normal saline due to less risk of hyperchloremic acidosis and potential benefits in reducing systemic inflammation.