Question

A 54-year-old man with sepsis from pneumonia presents with BP 82/50 mm Hg despite a 30 mL/kg bolus of crystalloid, lactate 4 mmol/L, and altered mentation. According to sepsis guidelines applicable in Canada, what is the most appropriate immediate next step?

Accepted Answer

Start a norepinephrine infusion to target a mean arterial pressure ≥65 mm Hg

Answer

Wait for lactate to normalise before adding vasopressors

Answer

Start low-dose dopamine infusion

Answer

Restrict further fluids and observe for 2 hours

Answer

Use high-dose steroids as first-line therapy

Practice question

A 54-year-old man with sepsis from pneumonia presents with BP 82/50 mm Hg despite a 30 mL/kg bolus of crystalloid, lactate 4 mmol/L, and altered mentation. According to sepsis guidelines applicable in Canada, what is the most appropriate immediate next step?