Question

A 62-year-old presents with fever, MAP 58 mm Hg, lactate 5.1 mmol/L, and suspected pneumonia. After cultures are drawn, which immediate resuscitation step is indicated?

Accepted Answer

Give 30 mL/kg IV crystalloid bolus promptly

Answer

Start vasopressin infusion to target MAP ≥65 mm Hg

Answer

Transfuse packed red blood cells to haemoglobin 9 g/dL

Answer

Begin low-dose dopamine for renal protection

Answer

Withhold fluids pending echo because of heart failure history

Practice question

A 62-year-old presents with fever, MAP 58 mm Hg, lactate 5.1 mmol/L, and suspected pneumonia. After cultures are drawn, which immediate resuscitation step is indicated?