A 58-year-old man presents with severe sepsis from pneumonia. BP is 82/50 mm Hg despite 1 L crystalloid. Lactate is 4.2 mmol/L. According to Surviving...

Question

A 58-year-old man presents with severe sepsis from pneumonia. BP is 82/50 mm Hg despite 1 L crystalloid. Lactate is 4.2 mmol/L. According to Surviving Sepsis Campaign 2021, what is the most appropriate immediate management step?

Accepted Answer

Administer an initial 30 mL/kg bolus of balanced crystalloid

Answer

Switch fluids to 5% dextrose

Answer

Delay further fluids and start only vasopressors

Answer

Give high-dose steroids before fluids

Answer

Restrict fluids to avoid pulmonary oedema

ca-mccqe1 MCQ (SBA): Septic shock initial resuscitation

A 58-year-old man presents with severe sepsis from pneumonia. BP is 82/50 mm Hg despite 1 L crystalloid. Lactate is 4.2 mmol/L. According to Surviving Sepsis Campaign 2021, what is the most appropriate immediate management step?