sepsisandseptic shock : 2008 - Crit care med 2008 ReprintSurvivhow} ... sepsis refractory septic shock 진단 후 24시간 이내 사용. hydrocortisone 50mg q6h IV + fludrocortisone 50㎛ qd ... ManagementPrevent SIRS Antibiotics: urgent Support IV volume Support perfusion Match DO2 to VO2 Nutrition