Question

A 64-year-old man with suspected severe sepsis has initial lactate 5.2 mmol/L. After 30 mL/kg fluids, MAP is 60 mm Hg. Next best step?

Accepted Answer

Start phenylephrine as first-line

Answer

Start low-dose dopamine for renal protection

Answer

Start norepinephrine as first-line vasopressor

Answer

Withhold vasopressors until central line placed

Answer

Start epinephrine first-line

Practice question

A 64-year-old man with suspected severe sepsis has initial lactate 5.2 mmol/L. After 30 mL/kg fluids, MAP is 60 mm Hg. Next best step?