Case 1: A pressing issue…

A 75 year old patient is brought to the ICU from the general medicine ward with hypotension. He was admitted a few hours earlier with community acquired pneumonia but had progressive hypotension. He was started on dopamine at 10 mcg/kg/min and currently has a blood pressure of 86/52 with a heart rate 120 on the floor and on arrival to the unit, you’re asked whether you are happy with dopamine or if you would like to switch to another “pressor”?

What are your thoughts on choice of pharmacological support in this patient with septic shock?

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