🏥 USMLE Exam Prep

A 68-year-old male presents to the emergency department with fever, confusion, and hypotension (BP 80/50 mmHg). His lactate is 4.5 mmol/L. After initiating broad-spectrum antibiotics, what is the most appropriate next step in his immediate management?

A Administer 250 mL crystalloid bolus
B Administer 30 mL/kg intravenous crystalloid bolus
C Obtain a CT scan of the abdomen
D Initiate vasopressors immediately

✓ Correct Answer: Option B

For patients with sepsis and hypotension or a lactate level of 2 mmol/L or greater, current guidelines recommend administering at least 30 mL/kg of intravenous crystalloid fluids within the first 3 hours as part of the initial resuscitation bundle.

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