A 72-year-old is brought to the ED with fever, rigors, confusion, MAP 58 mm Hg despite initial fluids, and lactate 4.2 mmol/L. Blood cultures are draw...

Question

A 72-year-old is brought to the ED with fever, rigors, confusion, MAP 58 mm Hg despite initial fluids, and lactate 4.2 mmol/L. Blood cultures are drawn. Which immediate action best aligns with current sepsis bundles?

Accepted Answer

Administer a 30 mL/kg IV crystalloid bolus now and reassess perfusion

Answer

Start norepinephrine before any further fluids

Answer

Delay antibiotics until cultures return to avoid resistance

Answer

Begin low-dose dopamine for renal protection

Answer

Give 1 L D5W followed by vasopressin

us-abem MCQ (SBA): Sepsis

A 72-year-old is brought to the ED with fever, rigors, confusion, MAP 58 mm Hg despite initial fluids, and lactate 4.2 mmol/L. Blood cultures are drawn. Which immediate action best aligns with current sepsis bundles?