Question

A 67-year-old with fever and hypotension (MAP 58 mm Hg) meets septic shock criteria. After blood cultures, what immediate steps are recommended within the first hour bundle?

Accepted Answer

Administer 30 mL/kg IV crystalloid and start broad-spectrum antibiotics promptly

Answer

Delay antibiotics until lactate repeats

Answer

Give 10 mL/kg crystalloid bolus

Answer

Start steroids before fluids and antibiotics

Answer

Insert PA catheter before resuscitation

Practice question

A 67-year-old with fever and hypotension (MAP 58 mm Hg) meets septic shock criteria. After blood cultures, what immediate steps are recommended within the first hour bundle?