A 70-year-old with suspected septic shock receives 30 mL/kg LR and norepinephrine. MAP 66, lactate decreasing. Next step to guide further fluids?...

Question

A 70-year-old with suspected septic shock receives 30 mL/kg LR and norepinephrine. MAP 66, lactate decreasing. Next step to guide further fluids?

Accepted Answer

Dynamic assessment (e.g., PLR with stroke volume change)

Answer

Static CVP alone

Answer

Give another fixed 30 mL/kg

Answer

Switch to dopamine

Answer

Albumin as first-line

us-abem MCQ (SBA): Fluid Responsiveness in Sepsis