Question

A 70-year-old presents with suspected sepsis: hypotension MAP 58 mmHg, lactate 5.2 mmol/L, suspected pneumonia. Which initial bundle is most appropriate?

Accepted Answer

Give 30 mL/kg crystalloid promptly, obtain cultures, start broad-spectrum antibiotics (within 1 hour in shock), and use norepinephrine to target MAP ≥65 mmHg

Answer

Restrict fluids to avoid edema; start vasopressin first

Answer

Delay antibiotics until culture results return

Answer

Start stress-dose steroids before fluids and pressors

Answer

Use dopamine as first-line vasopressor

Practice question

A 70-year-old presents with suspected sepsis: hypotension MAP 58 mmHg, lactate 5.2 mmol/L, suspected pneumonia. Which initial bundle is most appropriate?