A 72-year-old man with pneumonia receives 30 mL/kg crystalloid and broad-spectrum antibiotics. Blood pressure remains 78/44 mm Hg and lactate is 4.8

Question

A 72-year-old man with pneumonia receives 30 mL/kg crystalloid and broad-spectrum antibiotics. Blood pressure remains 78/44 mm Hg and lactate is 4.8 mmol/L. He has no pulmonary edema. Which of the following is the most appropriate at this time?

Accepted Answer

Start norepinephrine

Answer

Give oral midodrine and discharge

Answer

Administer beta-blocker

Answer

Observe without vasopressors

Answer

Start nitroglycerin infusion

Septic shock reassessment — USMLE Step 3 MCQ

A 72-year-old man with pneumonia receives 30 mL/kg crystalloid and broad-spectrum antibiotics. Blood pressure remains 78/44 mm Hg and lactate is 4.8 mmol/L. He has no pulmonary edema. Which of the following is the most appropriate at this time?