ICU Daily Question

Test your critical care knowledge

A septic shock patient on norepinephrine has been on vasopressin at 0.04 units/min for 30 hours. MAP is 68. The nurse now finds the fingertips of both hands dusky and cool with slow capillary refill, while the forearms are warm. Sodium has fallen from 139 to 131 mEq/L. What should the nurse do?