Type 2 Diabetes in Medicine / Internal Medicine — 67yo Man | Critical Care | SMLE Q#18809
SMLE Question #18809
Medicine / Internal Medicine
Critical Care
Objective: OBJ-CC-SEPSIS-001
Last updated: March 2026
A 67-year-old man with type 2 diabetes and hypertension presents to the ED with 2 days of fever, cough, and worsening dyspnea. Chest radiograph shows right lower lobe consolidation. He receives broad-spectrum IV antibiotics and 30 mL/kg IV crystalloid, but remains hypotensive and is transferred to ICU. What is the most appropriate next step in management?
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