A 65-year-old presents with fever, hypotension (MAP 58 mm Hg), tachycardia, and lactate 5.1 mmol/L. Suspected intra-abdominal sepsis. Which initial ac...

Question

A 65-year-old presents with fever, hypotension (MAP 58 mm Hg), tachycardia, and lactate 5.1 mmol/L. Suspected intra-abdominal sepsis. Which initial action best aligns with current sepsis bundles?

Accepted Answer

Administer 30 mL/kg crystalloid promptly and give broad-spectrum antibiotics within 1 hour; obtain cultures before antibiotics

Answer

Start norepinephrine before fluids

Answer

Obtain blood cultures after starting antibiotics

Answer

Give 10 mL/kg crystalloid and reassess in 6 hours

Answer

Start narrow-spectrum antibiotics after cultures result

Septic Shock — MRCEM SBA MCQ

A 65-year-old presents with fever, hypotension (MAP 58 mm Hg), tachycardia, and lactate 5.1 mmol/L. Suspected intra-abdominal sepsis. Which initial action best aligns with current sepsis bundles?