Question

A 58-year-old woman with fever and hypotension receives 30 mL/kg crystalloids. Lactate recheck after fluids remains elevated at 3.2 mmol/L. What do sepsis guidelines recommend?

Accepted Answer

Remeasure lactate and reassess perfusion as part of bundle

Answer

No need to remeasure lactate

Answer

Delay antibiotics until lactate normalizes

Answer

Immediate RBC transfusion

Answer

Mandatory central line placement now

Practice question

A 58-year-old woman with fever and hypotension receives 30 mL/kg crystalloids. Lactate recheck after fluids remains elevated at 3.2 mmol/L. What do sepsis guidelines recommend?