A 68-year-old with suspected meningitis is hypotensive. First antibiotics given at 30 minutes; BP remains low after 2 L crystalloid. Next step per sep...

Question

A 68-year-old with suspected meningitis is hypotensive. First antibiotics given at 30 minutes; BP remains low after 2 L crystalloid. Next step per sepsis guidance?

Accepted Answer

Start norepinephrine to maintain MAP ≥65 mmHg

Answer

High-dose hydrocortisone in all septic patients immediately

Answer

Delay vasopressors until 6 L fluids

Answer

Use dopamine as first-line vasopressor

Answer

Phenylephrine as first-line vasopressor

us-abem MCQ (SBA): Septic Shock (First-Line Vasopressor)

A 68-year-old with suspected meningitis is hypotensive. First antibiotics given at 30 minutes; BP remains low after 2 L crystalloid. Next step per sepsis guidance?