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MediumEmergencySeptic shock vasopressor choiceca-mccqe1ca-rcpsc-emca-rcpsc-im

A 45-year-old man with longstanding heavy alcohol use presents confused, with fever, hypotension, tachycardia and a lactate of 5.0 mmol/L. He is suspected to have sepsis from pneumonia. Initial fluid resuscitation and broad-spectrum antibiotics have been given. According to Surviving Sepsis Campaign 2021, if his mean arterial pressure remains below 65 mm Hg after 30 mL/kg crystalloid, what is the recommended first-line vasopressor?

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