Question

A 70-year-old man with CAP is hypotensive, lactate 4.5 mmol/L, and needs norepinephrine. Antibiotics were started within 1 hour. Which additional early step is recommended?

Accepted Answer

30 mL/kg balanced crystalloid bolus

Answer

Albumin 5% bolus

Answer

No fluids due to risk of edema

Answer

Restrictive fluids until CVP guided

Answer

D5W maintenance only

Practice question

A 70-year-old man with CAP is hypotensive, lactate 4.5 mmol/L, and needs norepinephrine. Antibiotics were started within 1 hour. Which additional early step is recommended?