Question

A 64-year-old man presents to the ED with fever (102.9°F), tachycardia 122/min, MAP 58 mm Hg after a 1 L crystalloid bolus, lactate 5.6 mmol/L, and suspected pneumonia. Which immediate intervention is recommended as part of initial sepsis management?

Accepted Answer

Give 30 mL/kg IV balanced crystalloid now

Answer

Administer norepinephrine before further fluids

Answer

Start hydrocortisone 200 mg/day immediately

Answer

Target glucose 80-110 mg/dL with insulin infusion

Answer

Obtain routine procalcitonin before fluids

Practice question

A 64-year-old man presents to the ED with fever (102.9°F), tachycardia 122/min, MAP 58 mm Hg after a 1 L crystalloid bolus, lactate 5.6 mmol/L, and suspected pneumonia. Which immediate intervention is recommended as part of initial sepsis management?