A 70-year-old becomes hypotensive (MAP 58 mm Hg) with suspected pneumonia, fever, and lactate 5.2 mmol/L. Which immediate action is recommended as par...

Question

A 70-year-old becomes hypotensive (MAP 58 mm Hg) with suspected pneumonia, fever, and lactate 5.2 mmol/L. Which immediate action is recommended as part of initial resuscitation?

Accepted Answer

Administer at least 30 mL/kg IV crystalloid within the first 3 hours.

Answer

Target MAP 85-90 mm Hg with immediate phenylephrine infusion.

Answer

Delay antibiotics pending procalcitonin results.

Answer

Guide fluids solely by static CVP measurements.

Answer

Restrict fluids and give diuretics because of crackles.

us-abem MCQ (SBA): Septic Shock

A 70-year-old becomes hypotensive (MAP 58 mm Hg) with suspected pneumonia, fever, and lactate 5.2 mmol/L. Which immediate action is recommended as part of initial resuscitation?