Question

A 70-year-old with bacterial sepsis and elevated lactate receives 30 mL/kg crystalloids and norepinephrine. MAP 62 mm Hg on norepinephrine 0.3 µg/kg/min. Next vasopressor?

Accepted Answer

Add vasopressin to norepinephrine

Answer

Increase dopamine

Answer

Switch to phenylephrine

Answer

Start epinephrine monotherapy

Answer

Start dobutamine as vasopressor

Practice question

A 70-year-old with bacterial sepsis and elevated lactate receives 30 mL/kg crystalloids and norepinephrine. MAP 62 mm Hg on norepinephrine 0.3 µg/kg/min. Next vasopressor?