🏥 USMLE Exam Prep

A 62-year-old man with a history of diabetes and COPD presents with fever, chills, and productive cough. His blood pressure is 85/50 mmHg, heart rate 115 bpm, respiratory rate 28 bpm, and temperature 39.5°C. Lactic acid is 4.5 mmol/L. After initial fluid resuscitation, which of the following is the most critical next step in managing his septic shock?

A Obtain blood cultures
B Administer broad-spectrum antibiotics
C Initiate vasopressors
D Insert a central venous catheter

✓ Correct Answer: Option B

For septic shock, after fluid resuscitation, empiric broad-spectrum antibiotics are critical and time-sensitive. While blood cultures should be obtained, they should not delay antibiotic administration by more than 45 minutes.

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