A 70-kg patient with septic shock (MAP 54 mmHg, lactate 5.1 mmol/L) receives broad-spectrum antibiotics. What is the next immediate intervention?...

Question

A 70-kg patient with septic shock (MAP 54 mmHg, lactate 5.1 mmol/L) receives broad-spectrum antibiotics. What is the next immediate intervention?

Accepted Answer

Administer 30 mL/kg IV crystalloid bolus and reassess

Answer

Transfuse 2 units PRBCs to target hemoglobin 9-10 g/dL

Answer

Start low-dose dopamine for renal perfusion

Answer

Delay fluids until central venous pressure measured

Answer

Begin stress-dose steroids before fluids

Septic Shock — MRCEM SBA MCQ