Question

A 58-year-old man presents with fever, hypotension, and lactate 5.8 mmol/L. After 2 L of LR, MAP remains 58. What is the recommended initial vasopressor dose?

Accepted Answer

Start norepinephrine 2-10 µg/min titrated to MAP ≥65

Answer

Start dopamine 10 µg/kg/min

Answer

Start phenylephrine 200 µg/min

Answer

Start vasopressin 0.1 units/min as sole agent

Answer

Start epinephrine as first-line 0.1 µg/kg/min

Practice question

A 58-year-old man presents with fever, hypotension, and lactate 5.8 mmol/L. After 2 L of LR, MAP remains 58. What is the recommended initial vasopressor dose?