Question

A 61-year-old with suspected sepsis has initial lactate 4.2 mmol/L. After fluids and antibiotics, MAP is 70 mm Hg, but he remains tachypneic. Next recommended step?

Accepted Answer

Repeat lactate measurement to assess clearance

Answer

No further lactate checks needed

Answer

Start steroids immediately

Answer

Start dialysis

Answer

Give albumin bolus routinely

Practice question

A 61-year-old with suspected sepsis has initial lactate 4.2 mmol/L. After fluids and antibiotics, MAP is 70 mm Hg, but he remains tachypneic. Next recommended step?