Afghanistan Comprehensive Specialization Exam

Practice session

A 68-year-old female is admitted to the emergency department with altered mental status, tachypnea (RR 30 breaths/min), fever (39.1 C), and productive cough. Her blood pressure is 78/46 mmHg and heart rate is 126 bpm. Serum lactate is 4.8 mmol/L. According to the international Surviving Sepsis Campaign (SSC) guidelines, which sequence of interventions represents the mandatory components of the 'Hour-1 Bundle' for septic shock?

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