A 67-year-old woman with a history of dyslipidemia, who comes to the ED with dysuria and pollakiuria followed by fever, chills, and deterioration of general condition. On arrival she appears severe and is tachycardic, tachypneic, with blood pressure 60/40 mmHg and temperature of 39°C. Which of the following measures would NOT be included in the INITIAL management?
Among the options presented, the only measure not included in the Surviving Sepsis Campaign guidelines on the management of sepsis and septic shock (like the patient we are dealing with) is the administration of IV dobutamine. The appropriate procedure would consist of fluid administration, blood culture extraction, serum lactate measurement and early administration of broad-spectrum antibiotic therapy directed to the suspected septic focus. If we do not obtain mean arterial pressure for adequate perfusion of the organs, we would initiate noradrenaline perfusion, as discussed in question 51.
Intravenous perfusion of dobutamine.
Serum lactate measurement.
Extraction of blood cultures.
Fluid administration.
Among the options presented, the only measure not included in the Surviving Sepsis Campaign guidelines on the management of sepsis and septic shock (like the patient we are dealing with) is the administration of IV dobutamine.