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Appreciate your views morpheus, well the patient was treated in lines of sepsis, blood pressure picked up with norad, and antibiotics and fliuds. Venous ulcers showed staph which responded well to antibiotics. Norad was tappered down. He is well now. Dopamine has predominant alpha action at higher dose which is similar to norad. Dunno if it might be better then as it can precipitate arrythmias too.
I guess the venous ulcers were not so severe enough to coz damage further with norad for this pt. His underlying obesity hypoventilation syndrome, requires him to b on frequent bipap. Apart from this he is well.