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Pediatric septic shock — ABEM Board MCQ

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ModeratePediatric emergenciesPediatric septic shockABEM Board

A 7-year-old girl arrives with fever and lethargy. Triage acuity is ESI 1; T 104.0 F, BP 72/38 mm Hg, HR 168/min, RR 34/min. She has delayed capillary refill, cool extremities, and petechiae. Oxygen is applied and IV access is being obtained. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Administer isotonic fluid bolus and broad-spectrum antibiotics promptly

Pediatric septic shock requires immediate resuscitation with fluids, antibiotics, oxygenation, and vasoactive support if fluid-refractory.

Reference: Surviving Sepsis Campaign pediatric guidelines