11/28/2025
A 1-week-old term neonate is undergoing an exploratory laparotomy for duodenal atresia. The
patient’s vital signs include a heart rate of 170 bpm, a systolic blood pressure of 40 mmHg, and
capillary refill time of 7 seconds. The patient has already received a 60mL/kg bolus of isotonic
saline. Administration of which of the following is the next best step in the management of this
patient?
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