Question

A 58-year-old with septic shock remains hypotensive (MAP 58 mm Hg) after 30 mL/kg balanced crystalloids and antibiotics within 1 hour. Next best step?

Accepted Answer

Delay pressors until lactate normalizes

Answer

Start vasopressin as first-line agent

Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Give 500 mL colloid bolus then reassess

Answer

Begin dopamine infusion

Practice question

A 58-year-old with septic shock remains hypotensive (MAP 58 mm Hg) after 30 mL/kg balanced crystalloids and antibiotics within 1 hour. Next best step?