A 72-year-old with suspected septic shock has MAP 58 mmHg and lactate 5 mmol/L. Best immediate bundle-based management?...

Question

A 72-year-old with suspected septic shock has MAP 58 mmHg and lactate 5 mmol/L. Best immediate bundle-based management?

Accepted Answer

Broad-spectrum antibiotics within 1 hour and 30 mL/kg crystalloid bolus

Answer

Obtain cultures; delay antibiotics until results

Answer

Start vasopressors first, then fluids

Answer

Low-rate maintenance fluids only

Answer

Give steroids before antibiotics and fluids

Septic Shock — MRCEM SBA MCQ