Question

A 50-year-old with severe sepsis remains hypotensive after 2.1 L crystalloid (70 kg). Lactate is 5.0 mmol/L. Next step per bundle?

Accepted Answer

Add norepinephrine to maintain MAP ≥65 mm Hg

Answer

More crystalloid to 60 mL/kg before vasopressor

Answer

Start vasopressin as first-line

Answer

Begin dopamine because of AKI

Answer

Start corticosteroids as first-line vasopressor adjunct

Practice question

A 50-year-old with severe sepsis remains hypotensive after 2.1 L crystalloid (70 kg). Lactate is 5.0 mmol/L. Next step per bundle?