A 34-year-old with suspected sepsis from pyelonephritis in the ED: lactate 4.2 mmol/L, MAP 58 after fluids. Next step for hemodynamics?...

Question

A 34-year-old with suspected sepsis from pyelonephritis in the ED: lactate 4.2 mmol/L, MAP 58 after fluids. Next step for hemodynamics?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Start dopamine

Answer

Place IABP

Answer

Start vasopressin as first-line

Answer

Withhold vasopressors until antibiotics complete

us-abem MCQ (SBA): Septic Shock