Question

A 47-year-old man with severe sepsis has received 30 mL/kg LR and MAP is 68 mm Hg; lactate 4.2 mmol/L. What additional bundle element is appropriate within the first hours?

Accepted Answer

Obtain repeat lactate to guide resuscitation

Answer

Give hydroxyethyl starch

Answer

Restrict fluids to avoid edema

Answer

Delay antibiotics until cultures return

Answer

Use dopamine as first vasopressor

Practice question

A 47-year-old man with severe sepsis has received 30 mL/kg LR and MAP is 68 mm Hg; lactate 4.2 mmol/L. What additional bundle element is appropriate within the first hours?