A 68-year-old man in ED with pneumonia is hypotensive (80/50 mmHg), tachycardic and has lactate 4 mmol/L. Despite a 1 L fluid bolus, MAP remains low. ...

Question

A 68-year-old man in ED with pneumonia is hypotensive (80/50 mmHg), tachycardic and has lactate 4 mmol/L. Despite a 1 L fluid bolus, MAP remains low. According to sepsis principles, what is the most appropriate next step?

Accepted Answer

Start vasopressor support with noradrenaline and continue fluid resuscitation while giving broad-spectrum antibiotics

Answer

Delay further treatment until blood cultures result

Answer

Give only maintenance fluids and observe

Answer

Start high-dose steroids alone

Answer

Discharge with oral antibiotics

au-amc MCQ (SBA): Septic shock initial management

A 68-year-old man in ED with pneumonia is hypotensive (80/50 mmHg), tachycardic and has lactate 4 mmol/L. Despite a 1 L fluid bolus, MAP remains low. According to sepsis principles, what is the most appropriate next step?