Question

A 54-year-old with severe CAP and shock is intubated. After norepinephrine is started, MAP remains 60 mmHg. Which maneuver is appropriate to improve perfusion without markedly increasing arrhythmias?

Accepted Answer

Add vasopressin

Answer

Increase dopamine infusion

Answer

Switch to phenylephrine monotherapy

Answer

Add dobutamine without assessing cardiac output

Answer

Start heparin infusion

Practice question

A 54-year-old with severe CAP and shock is intubated. After norepinephrine is started, MAP remains 60 mmHg. Which maneuver is appropriate to improve perfusion without markedly increasing arrhythmias?