A 67-year-old man is admitted with fever, hypotension and suspected pneumonia. Blood pressure is 82/50 mm Hg, heart rate 120 beats/min, lactate 5 mmol...

Question

A 67-year-old man is admitted with fever, hypotension and suspected pneumonia. Blood pressure is 82/50 mm Hg, heart rate 120 beats/min, lactate 5 mmol/L and oxygen saturation 93% on 4 L nasal prongs. According to sepsis management principles, what is the most appropriate initial intervention?

Accepted Answer

Start broad-spectrum IV antibiotics and give a 30 mL/kg crystalloid bolus

Answer

Delay antibiotics until blood cultures return

Answer

Administer vasopressors immediately without fluids

Answer

Restrict fluids and start diuretics

Answer

Wait for ICU review before starting resuscitation

ca-mccqe1 MCQ (SBA): Septic shock

A 67-year-old man is admitted with fever, hypotension and suspected pneumonia. Blood pressure is 82/50 mm Hg, heart rate 120 beats/min, lactate 5 mmol/L and oxygen saturation 93% on 4 L nasal prongs. According to sepsis management principles, what is the most appropriate initial intervention?