A 72-year-old man with pneumonia meets sepsis criteria. After blood cultures and broad-spectrum antibiotics, he has received 30 mL/kg lactated Ringer'...

Question

A 72-year-old man with pneumonia meets sepsis criteria. After blood cultures and broad-spectrum antibiotics, he has received 30 mL/kg lactated Ringer's over 2 hours. MAP remains 58 mm Hg and lactate is 5.2 mmol/L. What is the best next step to meet hemodynamic goals?

Accepted Answer

Start norepinephrine to target MAP at least 65 mm Hg

Answer

Give an additional 30 mL/kg crystalloid bolus

Answer

Start dopamine as first-line vasopressor

Answer

Start vasopressin as initial monotherapy

Answer

Transfuse packed red cells to hemoglobin above 10 g/dL

us-abem MCQ (SBA): Septic Shock

A 72-year-old man with pneumonia meets sepsis criteria. After blood cultures and broad-spectrum antibiotics, he has received 30 mL/kg lactated Ringer's over 2 hours. MAP remains 58 mm Hg and lactate is 5.2 mmol/L. What is the best next step to meet hemodynamic goals?