Question

A 72-year-old with fever, lactate 4.2 mmol/L, MAP 58 mm Hg after fluids, suspected pneumonia. What hemodynamic strategy is recommended?

Accepted Answer

Start norepinephrine to target MAP >=65 mm Hg

Answer

Target MAP >=75 mm Hg using dopamine first-line

Answer

Use phenylephrine first-line

Answer

Avoid vasopressors if lactate is elevated

Answer

Target MAP >=60 mm Hg with vasopressin monotherapy

Practice question

A 72-year-old with fever, lactate 4.2 mmol/L, MAP 58 mm Hg after fluids, suspected pneumonia. What hemodynamic strategy is recommended?