Question

A 45-year-old presents with fever 39.4°C (103°F), hypotension, and suspected sepsis. Initial lactate is 5.6 mmol/L. What additional bundle element is recommended within hours of recognition?

Accepted Answer

Repeat lactate within 2-4 hours to assess clearance

Answer

Wait 24 hours to recheck lactate

Answer

Hemoglobin target >10 g/dL

Answer

Start steroids in all patients

Answer

Delay antibiotics pending cultures

Practice question

A 45-year-old presents with fever 39.4°C (103°F), hypotension, and suspected sepsis. Initial lactate is 5.6 mmol/L. What additional bundle element is recommended within hours of recognition?