Hemoglobin and chemistry panel were collected

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Blood for labs, including lactate, CBC, cultures, hemoglobin and chemistry panel were collected before starting the antimicrobial therapy and sent to the lab. Antimicrobial therapy was then initiated. Sara received two additional 20 mL/kg balanced/buffered crystalloid fluid boluses for a total of three. However, her blood pressure remains low at 79/43 mmHg, and her physical examination is remarkable for diminished peripheral pulses, a capillary refill time of 4 seconds and cold, mottled extremities. NP Carter tells Dr. Foley that Sara remains hypotensive and is now manifesting remarkable signs of decreased peripheral perfusion. Dr. Foley says that she will call in a critical care specialist at this point. After consulting critical care specialists, which of the following medications could Dr. Foley choose to administer?

Administer dopamine. Administer corticosteroids. Administer norepinephrine. Administer milrinone. Administer epinephrine.

Reference no: EM133806576

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