A 72-kg patient presents with septic shock (MAP 58 mm Hg, lactate 5.2 mmol/L) after presumed pneumonia. Which immediate action aligns with initial res...

Question

A 72-kg patient presents with septic shock (MAP 58 mm Hg, lactate 5.2 mmol/L) after presumed pneumonia. Which immediate action aligns with initial resuscitation targets?

Accepted Answer

Administer 30 mL/kg balanced crystalloid within 3 hours.

Answer

Begin hydrocortisone 200 mg/day before fluids.

Answer

Delay antibiotics until cultures return.

Answer

Start norepinephrine before any fluid resuscitation.

Answer

Restrict fluids to 250 mL bolus because of possible pulmonary edema.

Septic Shock — MRCEM SBA MCQ

A 72-kg patient presents with septic shock (MAP 58 mm Hg, lactate 5.2 mmol/L) after presumed pneumonia. Which immediate action aligns with initial resuscitation targets?