Question # 3

A patient with septic shock on norepinephrine 0.2 mcg/kg/min remains hypotensive (MAP 60). Lactate is 6.2, ScvO₂ 58%. Which adjunctive infusion is MOST appropriate next?

Options:

A.

Add phenylephrine to increase SVR

B.

Add vasopressin at fixed low dose

C.

Switch to dopamine at higher dose

D.

Start nitroprusside to reduce afterload

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