The nurse practitioner is called by the med-surg nurse regarding a patient post-op day 5 from a Whipple surgery. The patient is confused, febrile and tachycardic. BP reveals 85/56 and pulse is 130. What is the initial action by the nurse practitioner?
O Start Vasopressin drip at 0.04 mcg/hr
• Start hydrocortisone 50 mg q6
O Give 30ml/kg cystalloids
O Start Epinephrine drip at 2mcg/kg/min