[Answered]: Mr

Mr. Alan Brooks, a 67-year-old male with septic shock, is in the ICU on norepinephrine at 12 mc(g)/(m)in to maintain his MAP above 65 mmHg. Over the past hour, the nurse notes that his MAP has dropped to 56 mmHg despite titrating norepinephrine up to 18 mc(g)/(m)in. His heart rate is now 132 bpm, and his skin is cold and mottled. His fingers are dusky, and pulses are faint. The IV site shows redness and slight swelling at the norepinephrine infusion site. His urine output has declined to 10 m(L)/(h)r. Questions for Discussion: 1. Analyze Alan’s deterioration. What medication-related complication is likely occurring? 2. What is the immediate nursing response for suspected norepinephrine extravasation? 3. What antidote or rescue treatment should be considered urgently?