A 67-year-old man presents to the ED febrile and confused with MAP 58 mm Hg after a 1 L saline bolus. Lactate is 5.2 mmol/L and blood cultures are pen...

Question

A 67-year-old man presents to the ED febrile and confused with MAP 58 mm Hg after a 1 L saline bolus. Lactate is 5.2 mmol/L and blood cultures are pending. Which immediate action is a required element of the initial sepsis bundle for this patient?

Accepted Answer

Rapidly administer 30 mL/kg IV crystalloid now

Answer

Start low-dose dopamine to raise MAP to 60 mm Hg

Answer

Delay antibiotics until culture results return

Answer

Give 5% albumin 1 L instead of crystalloids

Answer

Target MAP 55 mm Hg to avoid excess vasoconstriction

Septic Shock — MRCEM SBA MCQ

A 67-year-old man presents to the ED febrile and confused with MAP 58 mm Hg after a 1 L saline bolus. Lactate is 5.2 mmol/L and blood cultures are pending. Which immediate action is a required element of the initial sepsis bundle for this patient?