Fecal Peritonitis in Medicine / Internal Medicine — 62yo Man | Critical Care | SMLE Q#11711
SMLE Question #11711
Medicine / Internal Medicine
Critical Care
Objective: OBJ-308
Last updated: February 2026
A 62-year-old man is in the surgical ICU on postoperative day 1 after emergency laparotomy for a perforated sigmoid colon with fecal peritonitis. He has received 6 L of IV balanced crystalloid and broad-spectrum antibiotics. He remains hypotensive with low urine output. He is cool and clammy with delayed capillary refill, and there is no evidence of active bleeding. A central venous catheter is in place. Which intravenous medication is the most appropriate next step?
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