Question

A 45-year-old man with severe sepsis due to pyelonephritis is hypotensive (MAP 58) after 2 L of crystalloid; lactate 4.5 mmol/L. Next best step?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Give additional albumin 25% bolus

Answer

Start dopamine infusion first

Answer

Administer steroids before vasopressors

Answer

Intubate solely for hypotension

Practice question

A 45-year-old man with severe sepsis due to pyelonephritis is hypotensive (MAP 58) after 2 L of crystalloid; lactate 4.5 mmol/L. Next best step?