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 Verify the patient’s blood pressure yourself.

 Think about central access early to facilitate vasopressor and fluid administration.

 It is critical to tailor clinical management to each individual patient and shock physiology. Understand why your patient is hypotensive.

 Think about pH and volume status. Vasoactive agents will only have limited effect if these parameters are not corrected.

 Appropriate monitoring including continuous telemetry is important. Many of these agents cause ventricular arrhythmias.

 Vasoactive drugs may not be enough. Pay close attention and appreciate the appropriate timing for additional hemodynamic monitoring or mechanical circulatory support.