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1 Collect prescribed blood cultures promptly, ideally before antimicrobial therapy without delaying treatment 立即依醫囑收集血液培養，最好在抗微生物製劑治療前進行，但不延誤治療 2 Administer prescribed broad-spectrum antimicrobial therapy immediately 立即給予醫囑的廣效性抗微生物製劑治療 3 Begin prescribed balanced crystalloid resuscitation with frequent assessment of fluid responsiveness 開始醫囑的平衡晶體液復甦，並頻繁評估輸液反應性 4 Start prescribed norepinephrine if hypotension persists and titrate toward the ordered MAP goal 若低血壓持續，開始醫囑的正腎上腺素，並調整至醫囑的 MAP 目標 5 Coordinate urgent urologic decompression of the obstructed collecting system 協調緊急泌尿科減壓，解除阻塞的集尿系統 6 Wait for final culture susceptibility results before administering any antimicrobial therapy 在給予任何抗微生物製劑治療前，等待最終的培養藥物敏感性結果

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