A 22-year-old woman who is otherwise healthy undergoes an uneventful vaginal delivery of a full-term infant. One-day postpartum, she complains of visual changes and severe headache. Two hours after these complaints, she is found unresponsive and profoundly hypotensive. She is intubated and placed on mechanical ventilation. Her blood pressure is 68/28, regular heart rate is 148 beats/min, her oxygen saturation is 95% on FiO2 of 0.40. Physical examination is unremarkable. Her laboratory tests are notable for glucose of 49 mg/dL, with normal hematocrit and white blood cell count. Which of the following is most likely to reverse her hypotension?
Transfusion of packed red blood cells
Activated drotrecogin alfa
Hydrocortisone
Activated drotrecogin alfa
Piperacillin/tazobactam
Thyroxine
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