A 45-year-old man with fever and hypotension (MAP 58) is treated for septic shock. After receiving 30 mL/kg balanced crystalloids, MAP remains 58 and ...

Question

A 45-year-old man with fever and hypotension (MAP 58) is treated for septic shock. After receiving 30 mL/kg balanced crystalloids, MAP remains 58 and lactate is elevated. Next best action?

Accepted Answer

Start norepinephrine to target MAP ≥65 mm Hg

Answer

Add vasopressin instead of norepinephrine as first-line

Answer

Restrict fluids completely

Answer

Wait for lactate to normalize

Answer

Intubate electively to raise blood pressure

us-abem MCQ (SBA): Septic Shock

A 45-year-old man with fever and hypotension (MAP 58) is treated for septic shock. After receiving 30 mL/kg balanced crystalloids, MAP remains 58 and lactate is elevated. Next best action?