Question

A 68-year-old woman presents with fever, rigors, hypotension (BP 84/50 mmHg), tachycardia 120/min and respiratory rate 30/min. She has a suspected urinary source of infection and lactate is 4.5 mmol/L. What is the most appropriate immediate bundle of care in the first hour?

Accepted Answer

Commence Sepsis Six care bundle, including oxygen, intravenous fluids, IV antibiotics, blood cultures, lactate measurement and urine output monitoring

Answer

Administer oral antibiotics and observe

Answer

Obtain urine for microscopy before starting any antibiotics

Answer

Delay fluids until culture results are available

Answer

Start low-dose dopamine infusion immediately

Practice question

A 68-year-old woman presents with fever, rigors, hypotension (BP 84/50 mmHg), tachycardia 120/min and respiratory rate 30/min. She has a suspected urinary source of infection and lactate is 4.5 mmol/L. What is the most appropriate immediate bundle of care in the first hour?