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The treatment of choice for resulting hypotension is administration of intravenous fluidsaccompanied by repositioning if indicatedIn the event that vasopressors are considered for the management of severe hypotension which does not respond to intravenous fluids and repositioningthe administration of norepinephrine or phenylephrine should be consideredEPINEPHRINE SHOULD NOT BE USEDsince its use in patients with partial adrenergic blockade may further lower the blood pressureExtrapyramidal reactions may be treated with anticholinergic antiparkinsonian agentsdiphenhydramineor barbituratesOxygen may also be administered.
Parenteral25 mg IV or IM oncefollowed by close observation for responseThis dose may be repeated within 2 hours if neededOral therapy should be started as soon as feasible if continued medication is required.
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