A 60-year-old man presents with fever, hypotension (BP 82/50 mmHg), tachycardia, tachypnoea and suspected pneumonia on chest X-ray. Lactate is 4.5 mmo...

Question

A 60-year-old man presents with fever, hypotension (BP 82/50 mmHg), tachycardia, tachypnoea and suspected pneumonia on chest X-ray. Lactate is 4.5 mmol/L. According to the 2022 Sepsis Clinical Care Standard, what is the most important immediate management within the first hour?

Accepted Answer

Administer broad-spectrum intravenous antibiotics as soon as possible and provide rapid intravenous fluid resuscitation

Answer

Obtain blood cultures and delay antibiotics until results are available

Answer

Start low-dose dopamine infusion only

Answer

Wait for ICU review before starting fluids

Answer

Give oral antibiotics and discharge with close follow-up

au-amc MCQ (SBA): Sepsis and septic shock

A 60-year-old man presents with fever, hypotension (BP 82/50 mmHg), tachycardia, tachypnoea and suspected pneumonia on chest X-ray. Lactate is 4.5 mmol/L. According to the 2022 Sepsis Clinical Care Standard, what is the most important immediate management within the first hour?