Question

A 58-year-old septic patient (suspected pneumonia) is hypotensive with lactate 4.2 mmol/L. After cultures are drawn, what is the best immediate management step?

Accepted Answer

Crystalloid 30 mL/kg bolus and broad-spectrum antibiotics now

Answer

Delay antibiotics until CT chest

Answer

Start vasopressin before fluids

Answer

Transfuse RBCs to Hgb >10 g/dL

Answer

Wait for procalcitonin result

Practice question

A 58-year-old septic patient (suspected pneumonia) is hypotensive with lactate 4.2 mmol/L. After cultures are drawn, what is the best immediate management step?