Table 4.
• Measure lactate levela • Obtain blood cultures before administering antibiotics. • Administer broad-spectrum antibiotics. • Begin rapid administration of 30 ml/kg crystalloid for hypotension or lactate level ≥ 4 mmol/L. • Apply vasopressors if hypotensive during or after fluid resuscitation to maintain MAP ≥65 mmHg. |
aRemeasure lactate if initial lactate is elevated (> 2 mmol/L)