Question

A 72-year-old with pneumonia and sepsis receives 30 mL/kg balanced crystalloids and broad-spectrum antibiotics within 1 hour. MAP remains 58 mmHg after fluids. Next best step?

Accepted Answer

Start norepinephrine to target MAP ≥65 mmHg

Answer

Start dopamine for renal perfusion

Answer

Give sodium bicarbonate for lactate 4.0 mmol/L

Answer

Delay vasopressors until 6 hours

Answer

Start epinephrine as first-line

Practice question

A 72-year-old with pneumonia and sepsis receives 30 mL/kg balanced crystalloids and broad-spectrum antibiotics within 1 hour. MAP remains 58 mmHg after fluids. Next best step?