A 64-year-old man presents with suspected septic shock: MAP 58 mm Hg, lactate 4.5 mmol/L, hypotensive after 2 L crystalloid. Best immediate next step?...

Question

A 64-year-old man presents with suspected septic shock: MAP 58 mm Hg, lactate 4.5 mmol/L, hypotensive after 2 L crystalloid. Best immediate next step?

Accepted Answer

Add norepinephrine to target MAP ≥65 mm Hg

Answer

Start dopamine to target MAP ≥75 mm Hg

Answer

Begin vasopressin as first-line vasopressor

Answer

Delay vasopressors; give another 2 L before reassessment

Answer

Start dobutamine infusion as first-line

Septic Shock — MRCEM SBA MCQ

A 64-year-old man presents with suspected septic shock: MAP 58 mm Hg, lactate 4.5 mmol/L, hypotensive after 2 L crystalloid. Best immediate next step?