Question

A 66-year-old septic patient with MAP 54 mm Hg after 30 mL/kg crystalloid has lactate 5.2 mmol/L. Next best step?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Start phenylephrine infusion

Answer

Start dopamine infusion

Answer

Add dobutamine as first vasopressor

Answer

Restrict further fluids and observe

Practice question

A 66-year-old septic patient with MAP 54 mm Hg after 30 mL/kg crystalloid has lactate 5.2 mmol/L. Next best step?