Problem
A 23 year old female is brought into the emergency room unconscious following a seizure in college
HPI Her classmates state that she was extremely week this morning and she mentioned that she has severe headache, dizziness, blurring of vision, and that she vomited few times before class. But she had to attend to take the midterm test. She has a history of Crohn's disease for which she was receiving treatment.
PE Blood pressure 72/45; Resp: 32/min; pulse: 120beats/min-irregular
Labs Serum glucose: 50 mg/dL; K+ 6.6 mEq/L; Na+ 123 mEq/L; pH = 7.1
After administration of dextrose, thiamine, levophed and dopamine her BP is now 80/52 only.
a) What is the next drug to be administered?
b) What is the most likely diagnosis?