A 72-year-old with septic shock from pneumonia has MAP 58 mmHg after 30 mL/kg crystalloid over the past hour. Lactate is 4.2 mmol/L. Which immediate s...

Question

A 72-year-old with septic shock from pneumonia has MAP 58 mmHg after 30 mL/kg crystalloid over the past hour. Lactate is 4.2 mmol/L. Which immediate step is recommended next?

Accepted Answer

Start norepinephrine as first-line vasopressor to target MAP ≥65 mmHg

Answer

Begin dopamine as first-line vasopressor

Answer

Add albumin instead of vasopressor

Answer

Delay antibiotics until blood cultures result

Answer

Target MAP ≥55 mmHg to reduce vasopressor need

us-abem MCQ (SBA): Septic Shock

A 72-year-old with septic shock from pneumonia has MAP 58 mmHg after 30 mL/kg crystalloid over the past hour. Lactate is 4.2 mmol/L. Which immediate step is recommended next?