Question

A 69-year-old with suspected sepsis has initial lactate 4.2 mmol/L and hypotension. After 30 mL/kg fluids, MAP is 60 mm Hg. Best immediate action?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Add dopamine first

Answer

Delay pressors for 2 hours

Answer

Start phenylephrine as first-line

Answer

Start vasopressin as monotherapy

Practice question

A 69-year-old with suspected sepsis has initial lactate 4.2 mmol/L and hypotension. After 30 mL/kg fluids, MAP is 60 mm Hg. Best immediate action?