A 44-year-old with obesity and OSA is admitted with severe sepsis from UTI. Initial lactate 5.2 mmol/L. After fluids and antibiotics, lactate is reche...

Question

A 44-year-old with obesity and OSA is admitted with severe sepsis from UTI. Initial lactate 5.2 mmol/L. After fluids and antibiotics, lactate is rechecked and now 3.0. Why repeat lactate?

Accepted Answer

To assess perfusion response and guide resuscitation

Answer

To calculate MELD score

Answer

To document hepatic failure

Answer

For determining antibiotic choice

Answer

No clinical value

Sepsis (Lactate) — MRCEM SBA MCQ

A 44-year-old with obesity and OSA is admitted with severe sepsis from UTI. Initial lactate 5.2 mmol/L. After fluids and antibiotics, lactate is rechecked and now 3.0. Why repeat lactate?