A 52-year-old hospitalized with sepsis from pyelonephritis received 2.7 L lactated Ringer's (30 mL/kg) but remains hypotensive with MAP 60 mm Hg. What...

Question

A 52-year-old hospitalized with sepsis from pyelonephritis received 2.7 L lactated Ringer's (30 mL/kg) but remains hypotensive with MAP 60 mm Hg. What is the next recommended step to achieve target MAP?

Accepted Answer

Start norepinephrine as first-line vasopressor

Answer

Start dopamine infusion

Answer

Start phenylephrine as first-line vasopressor

Answer

Give hydroxyethyl starch bolus

Answer

Start vasopressin instead of catecholamines

Septic Shock-Vasopressor Choice — MRCEM SBA MCQ

A 52-year-old hospitalized with sepsis from pyelonephritis received 2.7 L lactated Ringer's (30 mL/kg) but remains hypotensive with MAP 60 mm Hg. What is the next recommended step to achieve target MAP?