A 72-year-old woman presents with septic shock secondary to pneumonia. Blood pressure is 80/40 mmHg despite 30 mL/kg of IV crystalloid resuscitation. ...

Question

A 72-year-old woman presents with septic shock secondary to pneumonia. Blood pressure is 80/40 mmHg despite 30 mL/kg of IV crystalloid resuscitation. What is the most appropriate next step in haemodynamic management?

Accepted Answer

Start a noradrenaline infusion via central or well-functioning peripheral line

Answer

Give further large fluid boluses until pulmonary oedema develops

Answer

Start dopamine as first-line vasopressor

Answer

Use oral midodrine

Answer

Rely solely on high-dose corticosteroids

au-amc MCQ (SBA): Septic shock fluid resuscitation

A 72-year-old woman presents with septic shock secondary to pneumonia. Blood pressure is 80/40 mmHg despite 30 mL/kg of IV crystalloid resuscitation. What is the most appropriate next step in haemodynamic management?