Question

A 72-year-old arrives with fever, tachycardia, lactate 5.2 mmol/L, MAP 58 mm Hg after 30 mL/kg crystalloid. Next best step?

Accepted Answer

Start norepinephrine infusion to target MAP ≥65 mm Hg

Answer

Start vasopressin as sole first-line agent

Answer

Delay vasopressors until CVP measured

Answer

Start dopamine infusion

Answer

Restrict fluids and observe

Practice question

A 72-year-old arrives with fever, tachycardia, lactate 5.2 mmol/L, MAP 58 mm Hg after 30 mL/kg crystalloid. Next best step?