A Patient with Septic Shock Has a BP of 70/46

A patient with septic shock has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which of these prescribed interventions will the nurse implement first?

A) Give normal saline IV at 500 mL/hr.
B) Infuse drotrecogin-a ( Xigris ) 24 mcg/kg.
C) Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D) Titrate norepinephrine ( Levophed ) to keep mean arterial pressure ( MAP ) at 65 to 70 mm Hg.