A 70-year-old with sepsis receives 30 mL/kg crystalloid. After norepinephrine started, MAP is 66. Lactate remains 5. Next action?...

Question

A 70-year-old with sepsis receives 30 mL/kg crystalloid. After norepinephrine started, MAP is 66. Lactate remains 5. Next action?

Accepted Answer

Increase norepinephrine and consider vasopressin for catecholamine-sparing

Answer

Add vasopressin

Answer

Switch to dopamine

Answer

Start dobutamine first

Answer

Stop fluids due to lactate

us-abem MCQ (SBA): Refractory Septic Shock