Final answer:
For hypotensive shock, a potent vasoconstrictor such as norepinephrine is usually started to increase blood pressure and improve patient outcomes.
Step-by-step explanation:
In cases of hypotensive shock, which is characterized by excessive vasodilation, the treatment often includes the use of pressor agents or inotropic drugs. These medications work to restore vascular tone and increase blood pressure. One common approach is to start with a drug like norepinephrine, which is a potent vasoconstrictor used as an IV drip to improve blood pressure in patients at risk for heart failure or experiencing a hypertensive crisis. Beta-blockers like metoprolol and propanolol are typically not first-line for hypotensive shock as they can worsen the hypotension; they are better used for long-term management of cardiovascular diseases due to their sympatholytic action, which includes reducing vasoconstriction and heart rate.