Which of the following medications is contraindicated in hypovolemia?

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Dobutamine is contraindicated in hypovolemia because it is primarily a positive inotropic agent that enhances myocardial contractility and increases cardiac output. However, in the setting of hypovolemia, administering dobutamine can exacerbate hypotension by increasing heart rate and contractility without adequately addressing the low blood volume. This can lead to decreased venous return and further compromise the patient's hemodynamic status.

For patients experiencing low blood volume, fluid resuscitation should be prioritized before considering medications to support cardiovascular function. In contrast, treatments such as vasopressin, commonly used in cases requiring vasoconstriction or in certain shock states, could potentially be beneficial in hypovolemic patients when fluid resuscitation is already underway.

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