An adult remains hypotensive after two correctly timed IM epinephrine doses and adequate crystalloid. A resuscitation physician, infusion pump and

Question

An adult remains hypotensive after two correctly timed IM epinephrine doses and adequate crystalloid. A resuscitation physician, infusion pump and continuous monitoring are available. What is the next vasopressor strategy?

Accepted Answer

Start a low-dose titrated IV epinephrine infusion with continuous resuscitation monitoring

Answer

Give epinephrine 1 mg IV boluses every three minutes until BP normalizes

Answer

Give glucagon as universal first-line escalation even without beta-blocker exposure

Answer

Stop epinephrine and give diphenhydramine infusion as the principal shock treatment

Answer

Change to subcutaneous epinephrine because repeated IM absorption becomes unreliable

Febrile neutropenia with sepsis — RCPSC EM MCQ

An adult remains hypotensive after two correctly timed IM epinephrine doses and adequate crystalloid. A resuscitation physician, infusion pump and continuous monitoring are available. What is the next vasopressor strategy?