A 60-year-old man with severe sepsis due to pneumonia is on norepinephrine 0.2 µg/kg/min with MAP 65, lactate 3.4. Cardiac ultrasound shows low EF and...

Question

A 60-year-old man with severe sepsis due to pneumonia is on norepinephrine 0.2 µg/kg/min with MAP 65, lactate 3.4. Cardiac ultrasound shows low EF and low cardiac index. What adjunct is appropriate?

Accepted Answer

Add dobutamine infusion for myocardial dysfunction

Answer

Start phenylephrine

Answer

Stop all vasopressors

Answer

Start dopamine to improve renal perfusion

Answer

Administer mannitol

us-abem MCQ (SBA): Sepsis (Cardiac Dysfunction)

A 60-year-old man with severe sepsis due to pneumonia is on norepinephrine 0.2 µg/kg/min with MAP 65, lactate 3.4. Cardiac ultrasound shows low EF and low cardiac index. What adjunct is appropriate?