EUNACOM Sección Práctica Practice Questions - Chile EUNACOM Sección Práctica - Examen Clínico Objetivo Estructurado (ECOE) Exam

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You are evaluated on your initial bedside management of Septic Shock in a simulated 70-year-old male with urosepsis. His BP is 78/48 mmHg (MAP 58 mmHg), HR 122 bpm, RR 26 bpm, and blood lactate is 4.4 mmol/L. According to the Surviving Sepsis Campaign guidelines, which actions must be demonstrated within the 1-Hour Sepsis Bundle?

Measure serum lactate, obtain at least two sets of blood cultures prior to antibiotics, administer broad-spectrum IV antimicrobials within 1 hour, infuse 30 mL/kg of balanced crystalloid solution within 3 hours, and apply IV Norepinephrine if MAP remains <65 mmHg Withhold all intravenous fluids, administer high-dose furosemide, and wait for 48-hour urine culture before starting antibiotics Administer oral hydration and schedule an elective outpatient abdominal ultrasound Immediately intubate and perform a diagnostic peritoneal lavage

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