Question

A 59-year-old with severe sepsis from pyelonephritis develops AKI. After 30 mL/kg crystalloid, he remains hypotensive with MAP 58 mmHg. Lactate is 5.2 mmol/L. What additional resuscitation target is recommended?

Accepted Answer

Re-measure lactate to assess perfusion and guide resuscitation

Answer

Target CVP 12-15 mmHg

Answer

Target ScvO₂ >80%

Answer

Avoid repeat lactate measurement

Answer

No further targets after MAP achieved

Practice question

A 59-year-old with severe sepsis from pyelonephritis develops AKI. After 30 mL/kg crystalloid, he remains hypotensive with MAP 58 mmHg. Lactate is 5.2 mmol/L. What additional resuscitation target is recommended?