A 64-year-old with obesity and OSA presents with septic shock due to pneumonia. After fluids and starting norepinephrine, MAP is 65, lactate 5. Next s...

Question

A 64-year-old with obesity and OSA presents with septic shock due to pneumonia. After fluids and starting norepinephrine, MAP is 65, lactate 5. Next step to guide resuscitation?

Accepted Answer

Use dynamic measures (e.g., passive leg raise, stroke volume variation) to assess fluid responsiveness

Answer

Give fixed additional 30 mL/kg regardless

Answer

Use CVP alone to guide fluids

Answer

Avoid lactate remeasurement

Answer

Start dopamine to raise MAP to 80

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

A 64-year-old with obesity and OSA presents with septic shock due to pneumonia. After fluids and starting norepinephrine, MAP is 65, lactate 5. Next step to guide resuscitation?