A 66-year-old woman presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. After drawing blood...

Question

A 66-year-old woman presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. After drawing blood cultures, what is the most appropriate immediate management step?

Accepted Answer

Begin broad-spectrum intravenous antibiotics and rapid fluid resuscitation with crystalloids

Answer

Wait for culture results before starting antibiotics

Answer

Restrict fluids to avoid pulmonary oedema

Answer

Give high-dose steroids as first-line therapy

Answer

Delay treatment until CT imaging is completed

ca-mccqe1 MCQ (SBA): Septic shock

A 66-year-old woman presents with fever, hypotension (BP 84/50 mm Hg), tachycardia and suspected pneumonia. Lactate is 4.2 mmol/L. After drawing blood cultures, what is the most appropriate immediate management step?