A 72-year-old man on ICU is in refractory septic shock. He has been on noradrenaline 1.2 mcg/kg/min, vasopressin 0.03 units/min, and hydrocortisone 20...

Question

A 72-year-old man on ICU is in refractory septic shock. He has been on noradrenaline 1.2 mcg/kg/min, vasopressin 0.03 units/min, and hydrocortisone 200 mg/day for 48 hours. MAP remains 50 mmHg. Echocardiography shows a hyperdynamic LV with EF 70%. What additional vasopressor may be considered as a rescue therapy?

Accepted Answer

IV angiotensin II infusion

Answer

IV phenylephrine infusion

Answer

IV dopamine at 20 mcg/kg/min

Answer

IV adrenaline as sole replacement for all current vasopressors

Answer

IV milrinone

uk-fficm MCQ (SBA): Refractory Vasodilatory Shock