Question

A 72-year-old man presents with fever 39.2°C, hypotension 86/50 mm Hg, tachycardia 120/min, and confusion. Lactate is 4.5 mmol/L. Urinalysis shows pyuria and bacteriuria. According to Surviving Sepsis Campaign guidance, which initial management is most appropriate in the first 3 hours?

Accepted Answer

Administer at least 30 mL/kg IV crystalloid and broad-spectrum antibiotics as soon as possible

Answer

Delay fluids until blood cultures are resulted

Answer

Restrict fluids to avoid pulmonary oedema and start low-dose Dopamine

Answer

Give steroids as sole initial therapy

Answer

Wait for ICU review before starting antibiotics

Practice question

A 72-year-old man presents with fever 39.2°C, hypotension 86/50 mm Hg, tachycardia 120/min, and confusion. Lactate is 4.5 mmol/L. Urinalysis shows pyuria and bacteriuria. According to Surviving Sepsis Campaign guidance, which initial management is most appropriate in the first 3 hours?