A 72-year-old with fever, hypotension (MAP 58), lactate 5.2 mmol/L, suspected pneumonia. Which initial intervention is most aligned with sepsis guidel...

Question

A 72-year-old with fever, hypotension (MAP 58), lactate 5.2 mmol/L, suspected pneumonia. Which initial intervention is most aligned with sepsis guidelines within the first hours?

Accepted Answer

Give 30 mL/kg IV crystalloid within 3 hours and start broad-spectrum antibiotics within 1 hour

Answer

Administer 500 mL IV crystalloid and reassess in 6 hours

Answer

Delay antibiotics until cultures result

Answer

Start vasopressors before fluids

Answer

Start steroids immediately before fluids and antibiotics

Septic shock initial management — MRCEM SBA MCQ

A 72-year-old with fever, hypotension (MAP 58), lactate 5.2 mmol/L, suspected pneumonia. Which initial intervention is most aligned with sepsis guidelines within the first hours?