PALS - Team Response Scenario: Sara Hoffman

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What care measures would be appropriate for Dr. Foley and the team to consider at this time?

1. Continuing infusion of epinephrine and adding norepinephrine as needed 2. Transfusing PRBCs if hemoglobin level is <10 g/dL 3. Targeting a CVP of 8-12 and a ScvO2 of >70%

After establishing vascular access, what is the next immediate action that the team should take?

Administer 20 mL/kg of normal saline over 5 to 10 minutes.

After consulting critical care specialists, which intervention would be most appropriate?

Administer epinephrine.

According to evidence-based septic shock guidelines, Dr. Carter understands that which important measure should be initiated no later than 1 hour after Sara's presentation of septic shock?

Antibiotic therapy

Based on the primary assessment findings and Dr. Foley's suspicion of septic shock, what is the next immediate action that the team should implement?

Establish vascular access.

Dr. Foley urges immediate care for Sara because she suspects which condition?

Septic shock


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