35 year old Mona developed feature of septicemia. Shock in form of hypotension and low urine output. She was being T/t for colonic necrosis. What will be the m/n –
**Core Concept**
Mona's condition is a severe case of septicemia with shock, characterized by hypotension and low urine output. This situation requires the use of vasopressors to maintain blood pressure and ensure adequate perfusion of vital organs.
**Why the Correct Answer is Right**
In septic shock, the body's response to infection leads to vasodilation and a significant drop in blood pressure. To counteract this, vasopressors like **Norepinephrine** are used to increase peripheral resistance and maintain adequate blood pressure. Norepinephrine works by stimulating alpha-1 adrenergic receptors, which causes vasoconstriction and increases blood pressure. This is a crucial step in managing septic shock and preventing organ failure.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it doesn't specify a vasopressor, which is the primary treatment for septic shock.
**Option B:** This option is incorrect because it's a diuretic, which would worsen the patient's condition by further reducing urine output.
**Option C:** This option is incorrect because it's an antihypertensive medication, which would lower blood pressure even further.
**Clinical Pearl / High-Yield Fact**
In septic shock, the use of vasopressors like norepinephrine is a key component of treatment, but it's essential to monitor and adjust the dose carefully to avoid causing excessive vasoconstriction and reducing organ perfusion.
**Correct Answer:**
**A. Norepinephrine**