A 69-year-old hospitalized with decompensated HF and suspected pneumonia meets sepsis-3 criteria. Initial lactate is 5.0 mmol/L. After fluids, lactate...

Question

A 69-year-old hospitalized with decompensated HF and suspected pneumonia meets sepsis-3 criteria. Initial lactate is 5.0 mmol/L. After fluids, lactate is 3.6. Recommended action regarding lactate?

Accepted Answer

Repeat lactate to document clearance

Answer

No reassessment needed

Answer

Give sodium bicarbonate to normalize lactate

Answer

Start vasopressin first-line for lactate

Answer

Draw lactate only if hypotension recurs

us-abem MCQ (SBA): Sepsis Bundle (Lactate)

A 69-year-old hospitalized with decompensated HF and suspected pneumonia meets sepsis-3 criteria. Initial lactate is 5.0 mmol/L. After fluids, lactate is 3.6. Recommended action regarding lactate?