Question

A 70-year-old with sepsis receives 30 mL/kg LR. MAP remains 66 mm Hg on norepinephrine 0.15 μg/kg/min but lactate persists 5.8 and cool extremities. Next step?

Accepted Answer

Start dobutamine infusion

Answer

Add vasopressin

Answer

Switch to dopamine

Answer

Increase fluids to 60 mL/kg rapidly

Answer

Start phenylephrine

Practice question

A 70-year-old with sepsis receives 30 mL/kg LR. MAP remains 66 mm Hg on norepinephrine 0.15 μg/kg/min but lactate persists 5.8 and cool extremities. Next step?