Arab Board Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical And Oral Examination (ABHS) Exam

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A 70-year-old female with urosepsis remains hypotensive with a blood pressure of 78/42 mmHg (MAP 54 mmHg) despite completion of a 30 mL/kg IV balanced crystalloid bolus. What is the first-line vasopressor of choice according to the Surviving Sepsis Campaign guidelines?

Phenylephrine boluses titrated to systolic BP >= 140 mmHg Dopamine infusion at low renal-protective doses Epinephrine boluses 1 mg IV every 3 minutes Norepinephrine infusion titrated to a target MAP >= 65 mmHg

Correct Answer:

Norepinephrine infusion titrated to a target MAP >= 65 mmHg

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