Question

A 41-year-old with fever 39.2°C (102.6°F), hypotension, lactate 4.2 mmol/L. After 30 mL/kg crystalloids, lactate still 3.8 and MAP 60. Which is most appropriate?

Accepted Answer

Start broad-spectrum antibiotics within 1 hour of recognition

Answer

Defer antibiotics until cultures positive

Answer

Restrict fluids to avoid edema; no pressors

Answer

Initiate dopamine as first-line pressor

Answer

Target MAP 55 mmHg as sufficient

Practice question

A 41-year-old with fever 39.2°C (102.6°F), hypotension, lactate 4.2 mmol/L. After 30 mL/kg crystalloids, lactate still 3.8 and MAP 60. Which is most appropriate?