A 55-year-old woman has severe sepsis from pyelonephritis. After 30 mL/kg fluids, MAP remains 60 mm Hg. Next step?...

Question

A 55-year-old woman has severe sepsis from pyelonephritis. After 30 mL/kg fluids, MAP remains 60 mm Hg. Next step?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Start dopamine first

Answer

Give vasopressin as sole agent

Answer

Start phenylephrine first-line

Answer

Delay vasopressors until ICU transfer

us-abem MCQ (SBA): Septic Shock Vasopressors