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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 45 year old male is brought to the emergency department with complaints of sudden onset of severe abdominal pain for the past five hours.  The pain is generalized and is increasing in severity since then.  He also had two episodes of non-bloody vomiting on the way to the emergency department.  On further review of his history, he reveals that he was having recurrent episodes of abdominal pain for the past three months, especially after meals that persisted for one to two hours.  His past history is significant for valvular heart disease and is on ACE inhibitors and thiazide diuretics for that.  He is a heavy smoker, but consumes alcohol occasionally.  His family history is insignificant.  On examination the patient is lethargic and his vitals are pulse: 120/min, BP: 80/70 mmHg and temperature: 38 degree Celsius.  Abdominal examination reveals generalized tenderness with rebound tenderness and guarding.  Other system examinations are normal except for a murmur at the mitral area.  The patient is kept on NPO and started on intravenous fluids and broad spectrum antibiotics.  Initial set of laboratory investigations and abdominal X-ray are ordered.  Despite the initial aggressive fluid therapy, the patient’s pulse and blood pressure is dropping.  Which of the following would be the most appropriate drug in the management of the patient’s vitals?</property:Prompt>
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