A 66-year-old with influenza-like illness and hypotension meets criteria for sepsis. After 30 mL/kg crystalloid, MAP remains 58 mm Hg. Next best step ...

Question

A 66-year-old with influenza-like illness and hypotension meets criteria for sepsis. After 30 mL/kg crystalloid, MAP remains 58 mm Hg. Next best step to reach MAP ≥65 mm Hg?

Accepted Answer

Start norepinephrine infusion

Answer

Add dopamine infusion

Answer

Start dobutamine

Answer

Give more crystalloid to total 60 mL/kg irrespective of response

Answer

Give vasopressin as first-line agent

us-abem MCQ (SBA): Septic Shock

A 66-year-old with influenza-like illness and hypotension meets criteria for sepsis. After 30 mL/kg crystalloid, MAP remains 58 mm Hg. Next best step to reach MAP ≥65 mm Hg?