A 45-year-old man was admitted to the Intensive Care Unit with fever. He required a vasopressor to maintain a mean arterial pressure (MAP) of more than 65 mm Hg. He is receiving ad... A 45-year-old man was admitted to the Intensive Care Unit with fever. He required a vasopressor to maintain a mean arterial pressure (MAP) of more than 65 mm Hg. He is receiving adequate IV fluid resuscitation. Which of the following is the most likely diagnosis? A. Sepsis B. Septicemia C. Septic shock D. Systemic inflammatory response syndrome
Understand the Problem
The question is asking to determine the most likely diagnosis for a patient who is in the Intensive Care Unit with a fever and requires a vasopressor to maintain a certain mean arterial pressure. This scenario suggests a serious medical condition, and the answer needs to distinguish between similar critical conditions.
Answer
Septic shock (C).
The final answer is C. Septic shock.
Answer for screen readers
The final answer is C. Septic shock.
More Information
Septic shock is characterized by the need for vasopressors to maintain a MAP of at least 65 mm Hg and tissue hypoperfusion despite adequate fluid resuscitation.
Tips
A common mistake is confusing sepsis and septic shock. Remember, septic shock involves persistent hypotension despite fluids.
Sources
- Evaluation and management of suspected sepsis and septic shock - uptodate.com
- Septic Shock: Practice Essentials, Background, Pathophysiology - emedicine.medscape.com
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