ABIM Critical Care Practice Questions - American Board Of Internal Medicine Critical Care Medicine Subspecialty Certification Exam

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A 62-year-old man with community-acquired pneumonia has BP 78/42 mmHg, HR 118, lactate 5.2 mmol/L, and cool extremities. Per the Surviving Sepsis Campaign 2021 1-hour bundle, which intervention is required?

30 mL/kg IV crystalloid and broad-spectrum antibiotics within 1 hour after blood cultures Start norepinephrine before any fluid resuscitation Targeted CVP 8-12 mmHg before antibiotics Transfuse packed red cells to hemoglobin ≥10 g/dL

Correct Answer:

30 mL/kg IV crystalloid and broad-spectrum antibiotics within 1 hour after blood cultures

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