A 72-year-old with suspected sepsis from pneumonia has MAP 60 mm Hg after 2 L crystalloid and lactate 4.5 mmol/L. Next best step?...

Question

A 72-year-old with suspected sepsis from pneumonia has MAP 60 mm Hg after 2 L crystalloid and lactate 4.5 mmol/L. Next best step?

Accepted Answer

Administer 30 mL/kg balanced crystalloids within 3 hours and start norepinephrine if hypotension persists

Answer

Start dopamine as first-line vasopressor

Answer

Restrict fluids to avoid edema

Answer

Give steroids before fluids

Answer

Delay antibiotics until culture results

us-abem MCQ (SBA): Septic Shock