A 61-year-old with DM and HTN presents with fever and hypotension; after 30 mL/kg LR and early antibiotics, MAP remains 58 mm Hg. Next best step?...

Question

A 61-year-old with DM and HTN presents with fever and hypotension; after 30 mL/kg LR and early antibiotics, MAP remains 58 mm Hg. Next best step?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Add phenylephrine as first vasopressor

Answer

Start dopamine due to bradycardia risk

Answer

Begin vasopressin as first-line

Answer

Restrict fluids and wait

Septic Shock-Vasopressor Choice — MRCEM SBA MCQ