You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is What are the immediate steps and strategies involved in the treatment and management of shock in case of septic shock  and explain in detail?
Vascular fluid replacement with Ringer Lactate or 0.9 % sodium chloride. Use of vasoconstrictors: dopamine IV at a constant rate by syringe pump: 10 to 20 micrograms/kg/minute or, if not available epinephrine IV at a constant rate by syringe pump: Use a diluted solution, i.e. add 1 mg epinephrine (1:1000) to 9 ml of 0.9% sodium chloride to obtain a 0.1 mg/ml solution (1:10 000). Start with 0.1 microgram/kg/minute. Increase the dose progressively until a clinical improvement is seen. Look for the origin of the infection (abscess; ENT, pulmonary, digestive, gynaecological or urological infection etc.).