Question

A 55-year-old woman with obesity and OSA presents with septic shock from pyelonephritis. After fluids and norepinephrine, MAP is 64 mm Hg; lactate remains 5.2 mmol/L. Next best step to improve hemodynamics?

Accepted Answer

Add vasopressin to norepinephrine

Answer

Add dopamine

Answer

Switch to phenylephrine

Answer

High-dose epinephrine alone

Answer

Stop fluids

Practice question

A 55-year-old woman with obesity and OSA presents with septic shock from pyelonephritis. After fluids and norepinephrine, MAP is 64 mm Hg; lactate remains 5.2 mmol/L. Next best step to improve hemodynamics?