Question

A 58-year-old woman with severe CAP develops shock. After initial fluids, MAP 58 mmHg. Lactate 6. What is the recommended bundle action?

Accepted Answer

Administer broad-spectrum antibiotics within 1 hour of recognition

Answer

Wait for cultures before antibiotics regardless of delay

Answer

Start phenylephrine before fluids

Answer

Give hydroxyethyl starch

Answer

No vasopressors until lactate normalizes

Practice question

A 58-year-old woman with severe CAP develops shock. After initial fluids, MAP 58 mmHg. Lactate 6. What is the recommended bundle action?