A 70-year-old hospitalized patient develops sepsis due to pneumonia; after 2.4 L of LR he remains hypotensive with MAP 58. Next best step?...

Question

A 70-year-old hospitalized patient develops sepsis due to pneumonia; after 2.4 L of LR he remains hypotensive with MAP 58. Next best step?

Accepted Answer

Begin norepinephrine to target MAP ≥65 mm Hg

Answer

Add vasopressin as first-line vasopressor

Answer

Start dopamine

Answer

Bolus 1 L hydroxyethyl starch

Answer

Accept MAP 58 if mentating

us-abem MCQ (SBA): Septic Shock Vasopressors