The client diagnosed with septic shock with positive blood c…

The client diagnosed with septic shock with positive blood cultures is receiving the appropriate antibiotic. However after a few days the client enters the late stage of septic shock as evidenced by severe hypotension and urine output < 30ml/hr for the last 4 hrs. The nurse informed the HCP and the HCP ordered 2 liters of 0.9% Normal saline over 2 hrs. After the NS infusion the client urine output remained < 30 ml/hr and severely hypotensive. With an  average MAP of 58. What should the nurse anticipate will be utilized next?