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A 6 y/o M presented to the Emergency Department with a fever. On arrival, triage vitals were as follows: T 40.2 HR 140 BP 92/65 SpO2 98% RA. Presumed sepsis is diagnosed, and he is started on his hospital’s Pediatric Sepsis protocol. Bloodwork including blood cultures are drawn. A capillary glucose is checked and was within normal limits. He receives Ceftriaxone 100 mg/kg IV. After one hour of resuscitation he has received 60 mL/kg of NS. Vitals are now as follows: T 39.2 HR 135 BP 90/59 SpO2 97% RA. On examination he has delayed cap refill and cool extremities. What is the best next step?