A 58-year-old with suspected septic shock has MAP 58 mmHg and lactate 5.2 mmol/L. What is the most appropriate immediate management bundle?...

Question

A 58-year-old with suspected septic shock has MAP 58 mmHg and lactate 5.2 mmol/L. What is the most appropriate immediate management bundle?

Accepted Answer

Administer 30 mL/kg IV crystalloid promptly and start broad-spectrum antibiotics within 1 hour

Answer

Order CT scanning before antibiotics to find the source

Answer

Start vasopressors first to raise MAP, delay fluids

Answer

Give stress-dose steroids and observe response before fluids

Answer

Restrict fluids initially to avoid pulmonary edema

Septic Shock — MRCEM SBA MCQ