Question

A 67-year-old man is admitted with fever, hypotension and suspected pneumonia. Blood pressure is 82/50 mm Hg, heart rate 120 beats/min, lactate 5 mmol/L and oxygen saturation 93% on 4 L nasal prongs. According to sepsis management principles, what is the most appropriate initial intervention?

Accepted Answer

Start broad-spectrum IV antibiotics and give a 30 mL/kg crystalloid bolus

Answer

Delay antibiotics until blood cultures return

Answer

Administer vasopressors immediately without fluids

Answer

Restrict fluids and start diuretics

Answer

Wait for ICU review before starting resuscitation

Practice question

A 67-year-old man is admitted with fever, hypotension and suspected pneumonia. Blood pressure is 82/50 mm Hg, heart rate 120 beats/min, lactate 5 mmol/L and oxygen saturation 93% on 4 L nasal prongs. According to sepsis management principles, what is the most appropriate initial intervention?