Things to Consider for Persistent or Worsening Septic Shock
Septic shock is one of the most common critical illnesses in emergency medicine and critical care.
Norepinephrine is recommended as the initial vasopressor of choice for patients with septic shock, with vasopressin or epinephrine commonly added as a second vasopressor for patients with refractory shock.
While vasopressors are being added and titrated, it is important to consider additional diagnoses in patients with worsening or persistent septic shock. Some of these diagnoses include:
Undetected infection that requires emergent source control
