In the ED, a 68-year-old with suspected septic shock has MAP 54 mmHg after 30 minutes, lactate 5.2 mmol/L, BP 82/48. Which immediate bundle-aligned st...

Question

In the ED, a 68-year-old with suspected septic shock has MAP 54 mmHg after 30 minutes, lactate 5.2 mmol/L, BP 82/48. Which immediate bundle-aligned step is correct after obtaining blood cultures?

Accepted Answer

Administer 30 mL/kg IV crystalloid and start norepinephrine to target MAP ≥65

Answer

Start narrow-spectrum antibiotics after ID consult

Answer

Infuse 10 mL/kg crystalloid and recheck in 6 hours

Answer

Target MAP >75 with phenylephrine first

Answer

Wait for lactate to normalize before vasopressors

Septic Shock — MRCEM SBA MCQ

In the ED, a 68-year-old with suspected septic shock has MAP 54 mmHg after 30 minutes, lactate 5.2 mmol/L, BP 82/48. Which immediate bundle-aligned step is correct after obtaining blood cultures?