Question

A 66-year-old with suspected sepsis receives 2 L crystalloids. MAP remains 62 mm Hg, lactate 5 mmol/L. Which additional immediate measure is recommended?

Accepted Answer

Begin norepinephrine titrated to MAP ≥65 mm Hg

Answer

Administer hydrocortisone to all

Answer

Delay vasopressors until 6 hours

Answer

Start dopamine first-line

Answer

Give sodium bicarbonate for lactate

Practice question

A 66-year-old with suspected sepsis receives 2 L crystalloids. MAP remains 62 mm Hg, lactate 5 mmol/L. Which additional immediate measure is recommended?