A 50-year-old with fever, rigors, and hypotension (MAP 58 mm Hg) after suspected pyelonephritis has received 2.4 L of lactated Ringer's (80 kg). MAP r...

Question

A 50-year-old with fever, rigors, and hypotension (MAP 58 mm Hg) after suspected pyelonephritis has received 2.4 L of lactated Ringer's (80 kg). MAP remains 58. What is the next step per sepsis guidance?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Switch fluids to albumin first

Answer

Delay vasopressors until 30 mL/kg more fluids are given

Answer

Start dopamine

Answer

Begin phenylephrine as first-line pressor

Septic Shock-Vasopressor Use — MRCEM SBA MCQ

A 50-year-old with fever, rigors, and hypotension (MAP 58 mm Hg) after suspected pyelonephritis has received 2.4 L of lactated Ringer's (80 kg). MAP remains 58. What is the next step per sepsis guidance?