A 47-year-old with severe sepsis from pneumonia presents with lactate 4.5 mmol/L and hypotension. After fluids, MAP is 58 mmHg. Next step?...

Question

A 47-year-old with severe sepsis from pneumonia presents with lactate 4.5 mmol/L and hypotension. After fluids, MAP is 58 mmHg. Next step?

Accepted Answer

Start vasopressors via central line and escalate in ICU

Answer

High-dose steroids immediately

Answer

Start noradrenaline via peripheral cannula

Answer

Wait another hour of fluids

Answer

Start dopamine infusion in ward

mrcem sba MCQ (SBA): Septic Shock