**Core Concept**
The patient presents with signs of acute inferior wall myocardial infarction (MI), characterized by chest pain, low volume pulse, hypotension (SBP 60mmHg), sweating, and low urine output. This scenario suggests a high-risk MI, likely due to right ventricular (RV) infarction, which is a complication of inferior wall MI.

**Why the Correct Answer is Right**
In RV infarction, the right ventricle's ability to pump blood into the pulmonary circuit is impaired, leading to decreased cardiac output, hypotension, and potentially fatal consequences. The next best step in management is to administer vasopressors to increase blood pressure and maintain perfusion of vital organs. **Norepinephrine** is the preferred vasopressor in this scenario, as it has a balanced effect on both arterial and venous tone, helping to improve cardiac output and blood pressure.

**Why Each Wrong Option is Incorrect**
**Option A:** Administering thrombolytics would be inappropriate in this scenario, as the patient's low blood pressure and low urine output indicate a high risk of bleeding and potential RV infarction.
**Option B:** Activating the cath lab for primary percutaneous coronary intervention (PCI) is crucial, but it is not the immediate next step; the patient needs stabilization with vasopressors first.
**Option C:** Administering beta-blockers would be contraindicated in this scenario, as they can worsen hypotension and decrease cardiac output in the setting of RV infarction.

**Clinical Pearl / High-Yield Fact**
In patients with acute inferior wall MI, particularly those with signs of RV infarction (e.g., hypotension, low urine output), early recognition and treatment with vasopressors are critical to prevent further complications and improve outcomes.

**Correct Answer:** C. Administer vasopressors (e.g., norepinephrine) to increase blood pressure and maintain perfusion of vital organs.