A 70-year-old man presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. According to contempo...

Question

A 70-year-old man presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. According to contemporary sepsis recommendations applied in Canadian emergency departments, which combination best describes the initial hour of management?

Accepted Answer

Administer 30 mL/kg IV crystalloid rapidly and start broad-spectrum antibiotics as soon as possible

Answer

Start broad-spectrum IV antibiotics and defer fluids until lactate normalises

Answer

Give vasopressors immediately without fluids

Answer

Observe on the ward and repeat lactate in 6 hours

Answer

Delay antibiotics until CT scans are completed

ca-mccqe1 MCQ (SBA): Septic shock

A 70-year-old man presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. According to contemporary sepsis recommendations applied in Canadian emergency departments, which combination best describes the initial hour of management?